Medicare Program Integrity Manual (Pub. 100-08), Ch. 4 § 4.9.3

Referral to Other Law Enforcement Agencies

Last amended: 2023Year: 2023Length: 103 wordsOfficial source
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.
Medicare Program Integrity Manual (Pub. 100-08), Ch. 4 § 4.9.3: Referral to Other Law Enforcement Agencies | Justis AI