Administrative Procedures Manual

 

 

Table of Contents

 

112

Fraud Control

 

 

112-1

Definition of Fraud

112-1 A.

Supplemental Nutrition Assistance Program

112-1 B.

Cash Assistance Programs

112-1 C.

Medicaid Programs

 

 

112-2

Purpose and Scope of the Fraud Control Unit

 

 

112-3

Types of Investigations

112-3 A.

Early Fraud Detection ( EFD )

112-3 B.

Post Certification Investigations

 

 

112-4

Referral of Suspected Fraud Cases

112-4 A.

Early Fraud (EFD) and Post Certification Investigation (PCI) Referrals

112-4 B.

Categorically Ineligible Households

112-4 C.

Fraud Referrals From Quality Assessment

 

 

112-5

Client Conference

 

 

112-6

Waiver of Administrative Disqualification Hearing

 

 

112-7

Intentional Program Violation Penalties

 

 

112-8

Administrative Disqualification Hearing

 

 

112-9

Department of Law, Office of Special Prosecutions and Appeals

 

 

112-10

Claims Unit Role

112-10 A.

Disqualified Individual for IPV

112-10 B.

Establishing and Collecting Fraud Claims