112 FRAUD CONTROL
Fraud control investigations focuses on allegations of Food Stamp, Alaska Temporary Assistance, Adult Public Assistance, and Medicaid applicant and recipient fraud. When the caseworker or Quality Assessment (QA Quality Assurance ) 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 Fraud Control Unit ). Often the caseworker, QA Quality Assurance reviewer, or the FCU Fraud Control Unit 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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