I. PURPOSE
II. LEGAL RESPONSIBILITY AND REFERENCES
III. NORTH CAROLINA GENERAL STATUTES
IV. FRAUD VS. MISREPRESENTATION
V. PREVENTION
VI. DETECTION
VII. INVESTIGATIONS
VIII. CALCULATING OVERPAYMENTS
IX. CONCLUSIONS AND RECOMMENDATIONS
X. NOTICES AND APPEALS
XI. ADMINISTRATIVE COLLECTION PROCEDURES
XII. BANKRUPTCY
XIII. DISTRIBUTION OF CASH REPAYMENT
XIV. EPICS REPORTING REQUIREMENTS
XV. NC DEBT SETOFF (TAX INTERCEPT) CRITERIA FOR MEDICAID CLAIMS
XVI. NORTH CAROLINA TITLE XIX MEDICAID RECIPIENT/NCHC PROFILES