[Code of Federal Regulations] [Title 42, Volume 3] [Revised as of October 1, 2002] From the U.S. Government Printing Office via GPO Access [CITE: 42CFR455.15] [Page 313] TITLE 42--PUBLIC HEALTH CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES--(Continued) PART 455--PROGRAM INTEGRITY: MEDICAID--Table of Contents Subpart A--Medicaid Agency Fraud Detection and Investigation Program Sec. 455.15 Full investigation. If the findings of a preliminary investigation give the agency reason to believe that an incident of fraud or abuse has occurred in the Medicaid program, the agency must take the following action, as appropriate: (a) If a provider is suspected of fraud or abuse, the agency must-- (1) In States with a State Medicaid fraud control unit certified under subpart C of part 1002 of this title , refer the case to the unit under the terms of its agreement with the unit entered into under Sec. 1002.309 of this title; or (2) In States with no certified Medicaid fraud control unit, or in cases where no referral to the State Medicaid fraud control unit is required under paragraph (a)(1) of this section, conduct a full investigation or refer the case to the appropriate law enforcement agency. (b) If there is reason to believe that a recipient has defrauded the Medicaid program, the agency must refer the case to an appropriate law enforcement agency. (c) If there is reason to believe that a recipient has abused the Medicaid program, the agency must conduct a full investigation of the abuse. [48 FR 3756, Jan. 27, 1983, as amended at 51 FR 34788, Sept. 30, 1986]