Source: https://www.law.cornell.edu/cfr/text/42/1007.13
Timestamp: 2017-06-23 14:04:11
Document Index: 332679676

Matched Legal Cases: ['art 1007', '§ 1007', '§ 1302', '§ 1396', 'art 1007', 'art 455', 'art 1007']

42 CFR 1007.13 - Staffing requirements. | US Law | LII / Legal Information Institute
CFR › Title 42 › Chapter V › Subchapter B › Part 1007 › Section 1007.13 42 CFR 1007.13 - Staffing requirements.
§ 1007.13 Staffing requirements.
(a) The unit will employ sufficient professional, administrative, and support staff to carry out its duties and responsibilities in an effective and efficient manner. The staff must include: (1) One or more attorneys experienced in the investigation or prosecution of civil fraud or criminal cases, who are capable of giving informed advice on applicable law and procedures and providing effective prosecution or liaison with other prosecutors; (2) One or more experienced auditors capable of supervising the review of financial records and advising or assisting in the investigation of alleged fraud; and (3) A senior investigator with substantial experience in commercial or financial investigations who is capable of supervising and directing the investigative activities of the unit. (b) The unit will employ, or have available to it, professional staff who are knowledgeable about the provision of medical assistance under title XIX and about the operation of health care providers. This is a list of United States Code sections, Statutes at Large, Public Laws, and Presidential Documents, which provide rulemaking authority for this CFR Part.This list is taken from the Parallel Table of Authorities and Rules provided by GPO [Government Printing Office].It is not guaranteed to be accurate or up-to-date, though we do refresh the database weekly. More limitations on accuracy are described at the GPO site.United States CodeU.S. Code: Title 42 - THE PUBLIC HEALTH AND WELFARE§ 1302 - Rules and regulations; impact analyses of Medicare and Medicaid rules and regulations on small rural hospitals§ 1396b - Payment to States
Title 42 published on 19-Apr-2017 03:51The following are ALL rules, proposed rules, and notices (chronologically) published in the Federal Register relating to 42 CFR Part 1007 after this date.2016-09-20; vol. 81 # 182 - Tuesday, September 20, 201681 FR 64383 - Medicaid; Revisions to State Medicaid Fraud Control Unit Rules
typeregulations.gov FR Doc.2016-22269 RIN0936-AA07 DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services, Office of Inspector General Proposed rule. To ensure consideration, comments must be delivered to the address provided below by no later than 5 p.m. Eastern Standard Time on November 21, 2016. 42 CFR Part 455 SummaryThis proposed rule would amend the regulation governing State Medicaid Fraud Control Units (MFCUs or Units). The proposed rule would incorporate statutory changes affecting the MFCUs as well as policy and practice changes that have occurred since the regulation was initially issued in 1978. These changes include a codification of OIG&apos;s delegated authority, MFCU authority, functions, and responsibilities; disallowances; and issues related to organization, prosecutorial authority, staffing, recertification, and the MFCUs&apos; relationship with Medicaid agencies.
2013-05-17; vol. 78 # 96 - Friday, May 17, 201378 FR 29055 - State Medicaid Fraud Control Units; Data Mining
typeregulations.gov FR Doc.2013-11735 RIN OIG-1203-F DEPARTMENT OF HEALTH AND HUMAN SERVICES, Office of Inspector General Final rule. These regulations are effective on June 17, 2013. 42 CFR Part 1007 SummaryThis final rule amends a provision in HHS regulations prohibiting State Medicaid Fraud Control Units (MFCU) from using Federal matching funds to identify fraud through screening and analyzing State Medicaid data, known as data mining. To support and modernize MFCU efforts to effectively pursue Medicaid provider fraud, we finalize proposals to permit Federal financial participation (FFP) in costs of defined data mining activities under specified circumstances. In addition, we finalize requirements that MFCUs annually report costs and results of approved data mining activities to OIG.
42 CFR 1007.5 — Basic Requirement.