Regulations last checked for updates: May 02, 2025

Title 42 - Public Health last revised: Apr 15, 2025
§ 455.19 - Provider's statement on check.

As an alternative to the statements required in § 455.18, the agency may print the following wording above the claimant's endorsement on the reverse of checks or warrants payable to each provider: “I understand in endorsing or depositing this check that payment will be from Federal and State funds and that any falsification, or concealment of a material fact, may be prosecuted under Federal and State laws.”

authority: 42 U.S.C. 1302.
source: 43 FR 45262, Sept. 29, 1978, unless otherwise noted.
cite as: 42 CFR 455.19