[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: 42CFR457.232]



[Page 390]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 457_ALLOTMENTS AND GRANTS TO STATES--Table of Contents

 

  Subpart B_General Administration_Reviews and Audits; Withholding for 

  Failure to Comply; Deferral and Disallowance of Claims; Reduction of 

                        Federal Medical Payments

 

Sec.  457.232  Refunding of Federal Share of SCHIP overpayments to 



providers and referral of allegations of waste, fraud or abuse to 

the Office of Inspector General.



    (a) Quarterly Federal payments to the States under title XXI (SCHIP) 

of the Act are to be reduced or increased to make adjustment for prior 

overpayments or underpayments that the Secretary determines have been 

made.

    (b) The Secretary will consider the pro rata Federal share of the 

net amount recovered by a State during any quarter to be an overpayment.

    (c) Allegations or indications of waste fraud and abuse with respect 

to the SCHIP program shall be referred promptly to the Office of 

Inspector General.