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Title 42--Public Health
CHAPTER IV--HEALTH CARE
FINANCING ADMINISTRATION,
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
PART 455--PROGRAM INTEGRITY: MEDICAID
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 | 455.1 | Basis and scope. |
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| 455.2 | Definitions. |
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| 455.3 | Other applicable regulations. |
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| 455.12 | State plan requirement. |
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| 455.13 | Methods for identification, investigation, and referral. |
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| 455.14 | Preliminary investigation. |
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| 455.15 | Full investigation. |
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| 455.16 | Resolution of full investigation. |
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| 455.17 | Reporting requirements. |
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| 455.18 | Provider's statements on claims forms. |
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| 455.19 | Provider's statement on check. |
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| 455.20 | Recipient verification procedure. |
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| 455.21 | Cooperation with State Medicaid fraud control units. |
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| 455.23 | Withholding of payments in cases of fraud or willful misrepresentation. |
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| 455.100 | Purpose. |
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| 455.101 | Definitions. |
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| 455.102 | Determination of ownership or control percentages. |
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| 455.103 | State plan requirement. |
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| 455.104 | Disclosure by providers and fiscal agents: Information on ownership and control. |
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| 455.105 | Disclosure by providers: Information related to business transactions. |
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| 455.106 | Disclosure by providers: Information on persons convicted of crimes. |
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