US · guidance
CMS Pub. 100-08, ch. 4, § 4.15
Incentive Reward Program
This section applies to UPICs.
Section 203(b)(1) of the Health Insurance Portability and Accountability Act (HIPAA)
of 1996 (Public Law 104-191) instructs the Secretary to establish a program to
encourage individuals to report information on individuals and entities that are engaged
in or have engaged in acts or omissions that constitute grounds for the imposition of a
sanction under sections 1128, 1128A, or 1128B of the Social Security Act (the Act), or
who have otherwise engaged in sanctionable fraud, waste, and/or abuse against the
Medicare program under title XVIII of the Act.
The Incentive Reward Program (IRP) was established to pay an incentive reward to
individuals who provide information on Medicare fraud, waste, and/or abuse or other
sanctionable activities. The applicable regulations are in 42 CFR § 420.405.
History
(Rev. 11032; Issued: 09-30-21; Effective: 10-12-21; Implementation: 11-10-21)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
01376fd1675ae75d06d7b7c25873749a127da1dcb5a11052d0cb679ad608297e
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