StacksVerified U.S. regulatory reference

42 CFR §457.930

Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov ↗
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:
  1. (a)Cooperate with and refer potential fraud and abuse cases to the State program integrity unit, if such a unit exists.
  2. (b)Conduct a full investigation.
  3. (c)Refer the fraud and abuse case to appropriate law enforcement officials.