Iowa Administrative Code
Agency 481 - Inspections and Appeals Department
Inspections Division
Chapter 73 - Medicaid Fraud Control Unit
Rule 481-73.7 - Investigation Results
Current through Register Vol. 47, No. 6, September 18, 2024
(1) Investigations resulting in sufficient evidence to support criminal or civil prosecution will be referred to the appropriate prosecutorial agency to be reviewed for a charging decision by the prosecutorial agency.
(2) For investigations that result in identification of potential overpayment made to a Medicaid provider, unit personnel will either attempt to collect such overpayment or refer the matter to an appropriate state agency for collection.
(3) Investigations that result in the identification of potential regulatory violations committed by a Medicaid provider may be referred to the appropriate regulatory agency for administrative review.
