[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: 42CFR1007.13]



[Page 1208]

 

                         TITLE 42--PUBLIC HEALTH

 

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

 

PART 1007_STATE MEDICAID FRAUD CONTROL UNITS--Table of Contents

 

Sec.  1007.13  Staffing requirements.



    (a) The unit will employ sufficient professional, administrative, 

and support staff to carry out its duties and responsibilities in an 

effective and efficient manner. The staff must include:

    (1) One or more attorneys experienced in the investigation or 

prosecution of civil fraud or criminal cases, who are capable of giving 

informed advice on applicable law and procedures and providing effective 

prosecution or liaison with other prosecutors;

    (2) One or more experienced auditors capable of supervising the 

review of financial records and advising or assisting in the 

investigation of alleged fraud; and

    (3) A senior investigator with substantial experience in commercial 

or financial investigations who is capable of supervising and directing 

the investigative activities of the unit.

    (b) The unit will employ, or have available to it, professional 

staff who are knowledgeable about the provision of medical assistance 

under title XIX and about the operation of health care providers.