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July 1, 2026

7 Appendix VI Client Investigations ...................................................................................................................186 Client Error Types .........................................................................................................................................186 Appendix VII Client Sanctions .........................................................................................................................188 Overpayments ..............................................................................................................................................188 Overpayment Dates ..................................................................................................................................188 Client Overpayment Information Chart ...................................................................................................189 Overpayment Notices ..............................................................................................................................190 IPVs ...............................................................................................................................................................191 Collusion .......................................................................................................................................................191 Criminal Prosecution ...................................................................................................................................192 Appendix VIII Returning Funds ........................................................................................................................193 Retractions ...................................................................................................................................................193 Retraction Process FAQ ...........................................................................................................................193 Voluntary Repayment Agreement (VPA) ....................................................................................................193 VPA Process FAQ .....................................................................................................................................194 Appendix IX Provider Program Integrity .........................................................................................................195 Provider Investigations ................................................................................................................................195 Provider Errors .............................................................................................................................................195 Provider Post-Investigation Activities .........................................................................................................197 Provider Explanation Letter (7m Letter)..................................................................................................197 Technical Assistance Letter ....................................................................................................................197 7m Provider Meeting ................................................................................................................................197 Provider Sanctions .......................................................................................................................................198 Overpayments ..........................................................................................................................................198 Forfeitures ................................................................................................................................................198 Stipulations ...............................................................................................................................................199 Permanent Suspension ............................................................................................................................199 Provider Appeals ..........................................................................................................................................201

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