Iowa Admin. Code r. 481-73.4

Current through Register Vol. 47, No. 5, September 4, 2024

Rule 481-73.4 - Investigations

Unit personnel investigate referrals opened and assigned as MFCU cases by utilizing all legally authorized means to identify any of the following:

1. Criminal activity resulting in violations of state or federal criminal code.

2. Fraudulent activity resulting in violations of state or federal civil statutes.

3. Financial damages sustained by the Iowa Medicaid program.

4. Victims involved in incidents of abuse or neglect.

5. Perpetrators involved in Medicaid provider fraud schemes or incidents of abuse or neglect.

6. Overpayments received by Medicaid providers as a result of fraudulent or criminal activity.

Iowa Admin. Code r. 481-73.4

Amended by IAB May 9, 2018/Volume XL, Number 23, effective 6/13/2018