{"data":{"id":"us/42-cfr-455.13","jurisdiction":"us","citation":"42 CFR 455.13","heading":"Methods for identification, investigation, and referral.","body":"The Medicaid agency must have—\n(a) Methods and criteria for identifying suspected fraud cases;\n(b) Methods for investigating these cases that—\n(1) Do not infringe on the legal rights of persons involved; and\n(2) Afford due process of law; and\n(c) Procedures, developed in cooperation with State legal authorities, for referring suspected fraud cases to law enforcement officials.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER C—MEDICAL ASSISTANCE PROGRAMS","PART 455—PROGRAM INTEGRITY: MEDICAID","Subpart A—Medicaid Agency Fraud Detection and Investigation Program"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"a311a4d2698c84bcb7654704e56bb21d7efcabef4947e930b1b46dbc04742775","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-455.12","next":"us/42-cfr-455.14"},"notice":"GroundRules: Original legal text. Not legal advice."}