medicaid · Centers for Medicare and Medicaid Services · Rule · Published 2013-05-17 · Effective 2013-06-17 · 78 FR 29055
Document
Document number
2013-11735
Federal Register citation
78 FR 29055
CFR reference
42 CFR 1007
Type
Rule
Action
Final rule.
Category
medicaid
Sub-agency
Centers for Medicare and Medicaid Services
Publication date
2013-05-17
Effective date
2013-06-17
HHS docket
OIG-1203-F
Abstract
This 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.