[Code of Federal Regulations]

[Title 42, Volume 4]

[Revised as of October 1, 2006]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR1002.230]



[Page 1171-1172]

 

                         TITLE 42--PUBLIC HEALTH

 

      GENERAL--HEALTH CARE, DEPARTMENT OF HEALTH AND HUMAN SERVICES

 

PART 1002_PROGRAM INTEGRITY_STATE-INITIATED EXCLUSIONS FROM MEDICAID--

 

 Subpart D_Notification to OIG of State or Local Convictions of Crimes 

                            Against Medicaid

 

Sec.  1002.230  Notification of State or local convictions of crimes 





against Medicaid.



    (a) The State agency must notify the OIG whenever a State or local 

court has convicted an individual who is receiving reimbursement under 

Medicaid of a criminal offense related to participation in the delivery 

of health care items or services under the Medicaid program, except 

where the State Medicaid Fraud Control Unit (MFCU) has so notified the 

OIG.

    (b) If the State agency was involved in the investigation or 

prosecution of the case, it must send notice within 15 days after the 

conviction.



[[Page 1172]]



    (c) If the State agency was not so involved, it must give notice 

within 15 days after it learns of the conviction.