Potential violation of the title XVI of the Social Security Act should be reported to the appropriate program integrity personnel.

If a potential criminal violation is discovered while conducting an RZ take the following steps:

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  Complete the redetermination; and

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  Follow instructions in GN 04110 ff. for reporting potential violations and GN 04110 ff. for evidence requirements ; then

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  Follow recovery instructions in SI 02201.005D.3 and SI 02220.010B.3.b.