42 C.F.R. § 455.20   Recipient verification procedure.


Title 42 - Public Health


Title 42: Public Health
PART 455—PROGRAM INTEGRITY: MEDICAID
Subpart A—Medicaid Agency Fraud Detection and Investigation Program

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§ 455.20   Recipient verification procedure.

(a) The agency must have a method for verifying with recipients whether services billed by providers were received.

(b) In States receiving Federal matching funds for a mechanized claims processing and information retrieval system under part 433, subpart C, of this subchapter, the agency must provide prompt written notice as required by §433.116 (e) and (f).

[48 FR 3756, Jan. 27, 1983, as amended at 56 FR 8854, Mar. 1, 1991]

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