U.S. Code of Federal Regulations

Regulations most recently checked for updates: Aug 27, 2025

All TitlesTitle 42Chapter IVPart 455Subpart A - Subpart A—Medicaid Agency Fraud Detection and Investigation Program
§ 455.12 - State plan requirement.
§ 455.13 - Methods for identification, investigation, and referral.
§ 455.14 - Preliminary investigation.
§ 455.15 - Full investigation.
§ 455.16 - Resolution of full investigation.
§ 455.17 - Reporting requirements.
§ 455.18 - Provider's statements on claims forms.
§ 455.19 - Provider's statement on check.
§ 455.20 - Beneficiary verification procedure.
§ 455.21 - Cooperation with State Medicaid fraud control units.
§ 455.23 - Suspension of payments in cases of fraud.
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