{"data":{"id":"us/42-cfr-457.930","jurisdiction":"us","citation":"42 CFR 457.930","heading":"Full investigation, resolution, and reporting requirements.","body":"The State must establish and implement effective procedures for investigating and resolving suspected and apparent instances of fraud and abuse. Once the State determines that a full investigation is warranted, the State must implement procedures including, but not limited to the following:\n(a) Cooperate with and refer potential fraud and abuse cases to the State program integrity unit, if such a unit exists.\n(b) Conduct a full investigation.\n(c) Refer the fraud and abuse case to appropriate law enforcement officials.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER D—STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs)","PART 457—ALLOTMENTS AND GRANTS TO STATES","Subpart I—Program Integrity"],"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":"d25d216142deee942e66fa4d45ed34ca999d68b085d19710d7f6ca323455c538","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-457.925","next":"us/42-cfr-457.935"},"notice":"GroundRules: Original legal text. Not legal advice."}