Medicare Program Integrity Manual (Pub. 100-08), Ch. 4 § 4.9.3
Referral to Other Law Enforcement Agencies
4.9.3 - Referral to Other Law Enforcement Agencies
(Rev. 11962; Issued: 04-21-23; Effective: 05-22-23; Implementation: 05-22-23)
If the OIG/OI declines a case that the UPIC believes has merit, the UPIC shall first
implement any identified secondary administrative action, and then advise their BFL,
with a copy to the COR, to determine if referral to another law enforcement agency,
such as the FBI, DEA, Civilian Health and Medical Program of the Uniformed Services
(CHAMPUS), RRB/OIG, and/or MFCU, is appropriate. The UPIC must receive BFL
approval prior to submitting a referral to another law enforcement agency, of which the
UPIC shall document in the UCM.