Regulations/Statutes

• Medicaid Fraud Control Units Annual Report: Fiscal Year 2025

  

• Social Security Act Provisions

  

• 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards and 2 CFR Part 300

  

• 42 CFR Part 455, Program Integrity: Medicaid (as amended May 21, 2019)

  

• 42 CFR Part 1007, Revisions to State Medicaid Fraud Control Units Rules

  

• Medicare and Medicaid Programs; COVID-19 Vaccine Requirements for Long-Term Care (LTC) Facilities and Intermediate Care Facilities for Individuals With Intellectual Disabilities (ICFs-IID) Residents, Clients, and Staff

  

• State Medicaid Fraud Control Units Fiscal Year 2014 Annual Report

  

• CFR-2012-State Medicaid Fraud Control Units

  

• Employment and Reimbursement of Full- and Part- Time Staff and Performance of Non-MFCU Duties

  

• Elements of and Process for Submitting a Complete Data Mining Application

  

• MFCU Authority in Personal Care Waiver Cases

  

• Program Income

  

• Extended Investigative Authority

  

• Public Disclosure Requests and Safeguarding of Privacy Rights

  

• Investigation, Prosecution, and Referral of Civil Fraud Cases

  

• Definition of Convictions and Plea Negotiations

  

• Social Security Provisions

  

• Uniform Administrative Requirements for Grants and Cooperative Agreements to State, Local, and Tribal Governments

  

• CMS Information Bulletin on Payment Suspensions

  

• Final Rule - State Medicaid Fraud Control Units-Data Mining