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HHS/OIG RIN: 0936-AA07 Publication ID: Fall 2016 
Title: Medicaid, Revisions to State Medicaid Fraud Control Unit Rules 

This proposed rule would amend the regulation governing the 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’s delegated authority, MFCU authority, functions, and responsibilities; disallowances; and issues related to organization, prosecutorial authority, staffing, recertification, and the MFCU’s relationship with the Medicaid agency.

Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: No  Unfunded Mandates: No 
CFR Citation: 42 CFR 1007    42 CFR 455.21   
Legal Authority: 1007: SSA subsection 1902 (a) (61)    1903 (a)(6)    1903(b)(3)    1903(q)    1102    ...   
Legal Deadline:  None
Action Date FR Cite
NPRM  09/20/2016  81 FR 64383   
NPRM Comment Period End  11/21/2016 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Patrice S. Drew
Regulations Analyst
Department of Health and Human Services
330 Independence Avenue SW,
Washington, DC 20201
Phone:202 619-1368