113-8          QUALITY ASSESSMENT REVIEWER’S FRAUD REFERRAL

The QA Quality Assurance Reviewer can recommend referral to the Fraud Unit.  During the review process, if the QA Quality Assurance Reviewer finds that the recipient of benefits or a childcare provider receiving subsidy willfully and intentionally lied or provided false verifications to the caseworker, the QA Quality Assurance Reviewer marks the "Fraud Referral Recommended” on the Q-Form.

The QARC will consider fraud referral recommendations during the discussion of the case.  In some cases the field might recommend the fraud referral.  If the QARC agrees a fraud referral is warranted, the caseworker completes the Fraud Referral form to refer the case to the Fraud Unit.  

Note:  

An overpayment claim is not sent to the Claims Unit if the caseworker or a QA Quality Assurance Reviewer submits a Fraud Referral.