112 FRAUD CONTROL
Fraud control investigations focuses on allegations of SNAP , Alaska Temporary Assistance, Adult Public Assistance, Medicaid, and Heating Assistance applicant and recipient fraud. When the caseworker or Quality Assessment (QA ) reviewer suspects the client is intentionally withholding information or provides incorrect information to gain access to public assistance benefits, to increase benefits, or prevent a reduction in benefits, including ending benefits, the caseworker makes a referral to the Fraud Control Unit (FCU ). Often the caseworker, QA reviewer, or the FCU receives allegations or has verification from a third party that the information provided by the client is false.
Note:
Persons knowingly and willing aiding a recipient or Medicaid provider in committing fraud will be considered to be aiding in the commission of the fraudulent act and may be held responsible.
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2023-02 (09/23) |