Referral of suspected fraud and abuse
Compiled text through May 15, 2022
Register checked through Jul 29, 2026
No later Register activity identified in this check.
Dates and status
- Compiling agency
- Executive Department
- Text status
- Source receipt
- Compiled text through
- May 15, 2022
- Register checked through
- July 29, 2026/Vol. XLVIII, Issue 30 (2026-07-29)
- Activity status
- No later Register activity identified in this check.
- Source snapshot
- Jun 6, 2026
Whenever, in the conduct of a review and verification into the eligibility of an applicant or the recertification of a participant, the evaluation of utilization review reports or participant profiles, there is evidence of program fraud or abuse by an applicant or participant, the contractor shall promptly refer the matter to the executive director for review.