Know your facts. Don’t be a victim.

HAVE I WITNESSED FRAUD?If something does not seem right, check it out.

THIS IS NOT.THIS IS FRAUD.

Billing for hours that were not worked.

Billing for hours when a participant cannot or does not need work done. Ex: During hospital stays, support-ed employment, adult day services, incarceration, etc.

Submitting false receipts for reimbursement.

Accidentally submitting a duplicate receipt for reimbursement.

Submitting a rate that is unknowingly di�erent from the approved plan.

Using a di�erent name to avoid background checks.

Forging the participant or guardian’s signature on a timesheet.

Changing the hours worked on a timesheet after it has been signed.

Not knowing how your program works.

For additional information regarding fraud detection, policy, and procedure please visit https://oig.hhs.gov/fraud/report-fraud or call the O�ce of Inspector General’s National Fraud Hotline at 1-800-HHS-TIPS ( 1-800-447-8477).

Number of Medicaid fraud convictions in 2013991

60%of those committing Medicaid fraud are relatives of the victim.

1in 5Americans report that they’ve been victims of fraud