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Section 455.1
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Definitions |
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Section 455.2
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Other applicable regulations |
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Section 455.3
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State plan requirement |
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Section 455.12
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Methods for identification, investigation, and referral |
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Section 455.13
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Preliminary investigation |
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Section 455.14
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Full investigation |
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Section 455.15
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Resolution of full investigation |
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Section 455.16
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Reporting requirements |
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Section 455.17
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Provider's statements on claims forms |
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Section 455.18
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Provider's statement on check |
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Section 455.19
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Beneficiary verification procedure |
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Section 455.20
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Cooperation with State Medicaid fraud control units |
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Section 455.21
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Suspension of payments in cases of fraud |
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Section 455.23
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Purpose |
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Section 455.100
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Definitions |
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Section 455.101
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Determination of ownership or control percentages |
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Section 455.102
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State plan requirement |
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Section 455.103
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Disclosure by Medicaid providers and fiscal agents: Information on ownership and control |
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Section 455.104
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Disclosure by providers: Information related to business transactions |
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Section 455.105
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Disclosure by providers: Information on persons convicted of crimes |
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Section 455.106
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Basis and scope |
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Section 455.200
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Limitation on contractor liability |
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Section 455.202
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Eligibility requirements |
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Section 455.230
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Medicaid integrity audit program contractor functions |
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Section 455.232
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Awarding of a contract |
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Section 455.234
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Renewal of a contract |
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Section 455.236
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Conflict of interest |
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Section 455.238
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Conflict of interest resolution |
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Section 455.240
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Purpose |
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Section 455.300
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Definitions |
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Section 455.301
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Condition for Federal financial participation (FFP) |
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Section 455.304
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Purpose |
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Section 455.400
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State plan requirements |
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Section 455.405
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Enrollment and screening of providers |
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Section 455.410
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Verification of provider licenses |
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Section 455.412
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Revalidation of enrollment |
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Section 455.414
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Termination or denial of enrollment |
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Section 455.416
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Reactivation of provider enrollment |
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Section 455.420
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Appeal rights |
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Section 455.422
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Site visits |
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Section 455.432
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Criminal background checks |
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Section 455.434
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Federal database checks |
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Section 455.436
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National Provider Identifier |
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Section 455.440
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Screening levels for Medicaid providers |
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Section 455.450
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Other State screening methods |
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Section 455.452
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Application fee |
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Section 455.460
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Temporary moratoria |
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Section 455.470
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Purpose |
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Section 455.500
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Establishment of program |
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Section 455.502
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Definitions |
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Section 455.504
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Activities to be conducted by Medicaid RACs and States |
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Section 455.506
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Eligibility requirements for Medicaid RACs |
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Section 455.508
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Payments to RACs |
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Section 455.510
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Medicaid RAC provider appeals |
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Section 455.512
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Federal share of State expense of the Medicaid RAC program |
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Section 455.514
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Exceptions from Medicaid RAC programs |
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Section 455.516
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Applicability to the territories |
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Section 455.518
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Basis and purpose of part |