Investigative Cases

Federal-aligned case management for state Medicaid Fraud Control Units and Program Integrity offices. Each case freezes a chain-of-custody T-MSIS claim snapshot at creation (SHA-256 hashed) and is the system of record for OIG quarterly reporting, Β§455.23 suspensions, and exclusion referrals.

Compliance regimes covered: 42 CFR Part 1007 (MFCU), 42 CFR Part 455 Subparts A/B/F, OIG MFCU Performance Standards (Sept 2024), and OIG Quarterly Statistical Report.
Intake

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Under Review

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Opened

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Referred

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Prosecuted

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Closed

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