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e-CFR data is current as of January 19, 2021

Title 42Chapter VSubchapter BPart 1002 → Subpart D


Title 42: Public Health
PART 1002—PROGRAM INTEGRITY—STATE-INITIATED EXCLUSIONS FROM MEDICAID


Subpart D—Notification to OIG of State or Local Convictions of Crimes Against Medicaid


Contents
§1002.230   Notification of State or local convictions of crimes against Medicaid.

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§1002.230   Notification of State or local convictions of crimes against Medicaid.

(a) The State agency must notify the OIG whenever a State or local court has convicted an individual who is receiving reimbursement under Medicaid of a criminal offense related to participation in the delivery of health care items or services under the Medicaid program, except where the State Medicaid Fraud Control Unit (MFCU) has so notified the OIG.

(b) If the State agency was involved in the investigation or prosecution of the case, it must send notice within 15 days after the conviction.

(c) If the State agency was not so involved, it must give notice within 15 days after it learns of the conviction.

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