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Title 42: Public Health
CHAPTER IV: CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED)
SUBCHAPTER C: MEDICAL ASSISTANCE PROGRAMS
PART 455: PROGRAM INTEGRITY: MEDICAID
Subpart A: Medicaid Agency Fraud Detection and Investigation Program
455.20 - Recipient verification procedure.
(a) The agency must have a method for verifying with recipients whether services billed by providers were received.
(b) In States receiving Federal matching funds for a mechanized claims processing and information retrieval system under part 433, subpart C, of this subchapter, the agency must provide prompt written notice as required by ? 433.116 (e) and (f).
[48 FR 3756, Jan. 27, 1983, as amended at 56 FR 8854, Mar. 1, 1991]
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