SUBPART I—Program Integrity (§457.900 to §457.985)
- 457.900—Basis, scope and applicability.
- 457.902—Definitions
- 457.910—State program administration.
- 457.915—Fraud detection and investigation.
- 457.925—Preliminary investigation.
- 457.930—Full investigation, resolution, and reporting requirements.
- 457.935—Sanctions and related penalties.
- 457.940—Procurement standards.
- 457.945—Certification for contracts and proposals.
- 457.950—Contract and payment requirements including certification of payment-related information.
- 457.955—Conditions necessary to contract as a managed care entity (MCE).
- 457.960—Reporting changes in eligibility and redetermining eligibility.
- 457.965—Documentation.
- 457.980—Verification of enrollment and provider services received.
- 457.985—Integrity of professional advice to enrollees.