Medicare Program Integrity Manual (Pub. 100-08), Ch. 4 § 4.9.2.1
OIG/OI Referral and Summary Report
4.9.2.1 - OIG/OI Referral and Summary Report
(Rev. 11032; Issued: 09-30-21; Effective: 10-12-21; Implementation: 11-10-21)
The UPIC shall use the Referral Fact Sheet Template when preparing referrals to the
OIG/OI. The UPIC shall forward the referral directly to the OIG, shall send a copy of the
referral to its BFL(s) and COR(s), and shall retain a copy of the referral in the
investigation case file.
The Referral Fact Sheet Template can be found in PIM Exhibit 16.1.