Iowa Administrative Code
Agency 481 - INSPECTIONS AND APPEALS
INSPECTIONS DIVISION
Chapter 73 - MEDICAID FRAUD CONTROL UNIT
Rule 481-73.3 - Referrals
Universal Citation: IA Admin Code 481-73.3
Current through Register Vol. 46, No. 19, March 20, 2024
(1) The MFCU director reviews referrals in order to confirm that the unit has jurisdiction to investigate the allegation(s).
(2) Upon confirming MFCU jurisdiction and taking into consideration numerous factors and referral-specific information, the MFCU director shall determine the disposition of the referral, which may include, but is not limited to, the following:
a. Opening a case and assigning the case to
unit personnel.
b. Referring the
allegations to appropriate outside agencies for further review.
c. Declining the referral and taking no
further action in the matter.
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