Addendum 109 E - Fraud Referral and Findings CANO Template

Administrative Procedures Manual

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ADMINISTRATIVE PROCEDURES MANUAL

ADDENDUM 109 E

FRAUD REFERRAL AND FINDINGS CANOCase Notes TEMPLATE

DOCUMENTING FRAUD REFERRALS

Caseworkers must follow the procedure outlined in Administrative Manual section 112-4 in making referrals of suspected fraud cases. In addition to completing the necessary forms to refer to cases to Fraud Unit, caseworkers must also document concisely on CANOCase Notes all referrals made to Fraud Unit. The documentation must include the following information:

SUBJECT	ELEMENTS
RECORD TITLE:	Fraud Referral

FACTS OF CASE:

In narrative form, address each of the following:

Reason for referral
Program(s) and eligibility factor(s) affected by the allegation
Possible benefit months affected by allegation
Form completed and submitted to Fraud Unit (GEN 97a / GEN 40), and date of submission

DOCUMENTING FRAUD FINDINGS

Caseworkers must also document in CANOCase Notes the report and findings received from Fraud after an investigation is made. Immediately after receiving the Early Fraud Findings Report (GEN 97b) or FCU #5, the caseworker must take action and document the findings on CANOCase Notes. The documentation must include the following information:

SUBJECT	ELEMENTS
RECORD TITLE:	Fraud Findings for Referral made on (date of referral)

FACTS OF CASE:

In narrative form, address each of the following:

Summary of fraud report
Action taken on case resulting from fraud findings
Additional forms completed as a result of the fraud findings (ex. GEN 95 form if overpayment occurred)

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		2012-02 (11/12)