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Code · U.S. Code · Title 42 - THE PUBLIC HEALTH AND WELFARE · CHAPTER 7— SOCIAL SECURITY · SUBCHAPTER XVIII— HEALTH INSURANCE FOR AGED AND DISABLED · § 1395b–5

§ 1395b–5. Beneficiary incentive programs

480 words·~2 min read·/usc/title-42/section-1395b-5

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Pub. L. 105–33, title IV, § 4311(b)(2) , Aug. 5, 1997 , 111 Stat. 386 Not later than 3 months after August 21, 1996 , the Secretary shall establish a program under which the Secretary shall encourage individuals to report to the Secretary information on individuals and entities who are engaging in or who have engaged in acts or omissions which constitute grounds for the imposition of a sanction under section 1320a–7, 1320a–7a, or 1320a–7b of this title, or who have otherwise engaged in fraud and abuse against the Medicare program under this subchapter for which there is a sanction provided under law.
The program shall discourage provision of, and not consider, information which is frivolous or otherwise not relevant or material to the imposition of such a sanction. If an individual reports information to the Secretary under the program established under paragraph
(1)which serves as the basis for the collection by the Secretary or the Attorney General of any amount of at least $100 (other than any amount paid as a penalty under section 1320a–7b of this title ), the Secretary may pay a portion of the amount collected to the individual (under procedures similar to those applicable under section 7623 of the Internal Revenue Code of 1986 to payments to individuals providing information on violations of such Code). Not later than 3 months after August 21, 1996 , the Secretary shall establish a program under which the Secretary shall encourage individuals to submit to the Secretary suggestions on methods to improve the efficiency of the Medicare program. If an individual submits a suggestion to the Secretary under the program established under paragraph
(1)which is adopted by the Secretary and which results in savings to the program, the Secretary may make a payment to the individual of such amount as the Secretary considers appropriate. ( Pub. L. 104–191, title II, § 203 , Aug. 21, 1996 , 110 Stat. 1998 ; Pub. L. 105–33, title IV, § 4311(b)(2) , Aug. 5, 1997 , 111 Stat. 386 .)
Connections2 cite this
4 references not yet in our index
  • Pub. L. 105-33
  • 111 Stat. 386
  • Pub. L. 104-191
  • 110 Stat. 1998
Citation graph
cites case law
§ 1395b–5
Beneficiary incentive programs
Fed. Reg.×1
Stat. Comp.×1
Pub. L.Pub. L. 105-33
Stat.111 Stat. 386
Pub. L.Pub. L. 104-191
Stat.110 Stat. 1998
Cites 4Cited by 2 across 2 sources
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