42 C.F.R. § 455.16

Current through March 31, 2024
Section 455.16 - Resolution of full investigation

A full investigation must continue until-

(a) Appropriate legal action is initiated;
(b) The case is closed or dropped because of insufficient evidence to support the allegations of fraud or abuse; or
(c) The matter is resolved between the agency and the provider or beneficiary. This resolution may include but is not limited to-
(1) Sending a warning letter to the provider or beneficiary, giving notice that continuation of the activity in question will result in further action;
(2) Suspending or terminating the provider from participation in the Medicaid program;
(3) Seeking recovery of payments made to the provider; or
(4) Imposing other sanctions provided under the State plan.

42 C.F.R. §455.16

43 FR 45262, Sept. 29, 1978, as amended at 48 FR 3756, Jan. 27, 1983