42 C.F.R. § 457.930

Full investigation, resolution, and reporting requirements.

Last amended: 2017Year: 2026Length: 80 wordsSubsections: 3Official source

Cite as 42 C.F.R. § 457.930 (2026)

The State must establish and implement effective procedures for investigating and resolving suspected and apparent instances of fraud and abuse. Once the State determines that a full investigation is warranted, the State must implement procedures including, but not limited to the following: (a) Cooperate with and refer potential fraud and abuse cases to the State program integrity unit, if such a unit exists. (b) Conduct a full investigation. (c) Refer the fraud and abuse case to appropriate law enforcement officials.
42 C.F.R. § 457.930: Full investigation, resolution, and reporting requirements. | Justis AI