[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: 42CFR455.20]



[Page 334]

 

                         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.  455.20  Recipient verification procedure.



    (a) The agency must have a method for verifying with recipients 

whether services billed by providers were received.

    (b) In States receiving Federal matching funds for a mechanized 

claims processing and information retrieval system under part 433, 

subpart C, of this subchapter, the agency must provide prompt written 

notice as required by Sec.  433.116 (e) and (f).



[48 FR 3756, Jan. 27, 1983, as amended at 56 FR 8854, Mar. 1, 1991]