Title 42--Public Health

CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES--(Continued)

PART 455--PROGRAM INTEGRITY: MEDICAID

TEXT PDF455.1 Basis and scope.
TEXT PDF455.2 Definitions.
TEXT PDF455.3 Other applicable regulations.
TEXT PDF455.12 State plan requirement.
TEXT PDF455.13 Methods for identification, investigation, and referral.
TEXT PDF455.14 Preliminary investigation.
TEXT PDF455.15 Full investigation.
TEXT PDF455.16 Resolution of full investigation.
TEXT PDF455.17 Reporting requirements.
TEXT PDF455.18 Provider's statements on claims forms.
TEXT PDF455.19 Provider's statement on check.
TEXT PDF455.20 Recipient verification procedure.
TEXT PDF455.21 Cooperation with State Medicaid fraud control units.
TEXT PDF455.23 Withholding of payments in cases of fraud or willful misrepresentation.
TEXT PDF455.100 Purpose.
TEXT PDF455.101 Definitions.
TEXT PDF455.102 Determination of ownership or control percentages.
TEXT PDF455.103 State plan requirement.
TEXT PDF455.104 Disclosure by providers and fiscal agents: Information on ownership and control.
TEXT PDF455.105 Disclosure by providers: Information related to business transactions.
TEXT PDF455.106 Disclosure by providers: Information on persons convicted of crimes.

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