What Is Medicaid Recipient Fraud?
Examples of Public assistance Fraud:
Public Assistance includes food stamps, child care, financial aid, and Medicaid medical services. It is considered Recipient fraud when a person:
- Uses another Medicaid recipient's card with or without their knowledge.
- Loans a Medicaid ID card to other people to uses.
- Uses more than one Medicaid identification card.
- Doctor shops to get multiple services or prescriptions.
- Forges or changes a prescription.
- Does not use items received through the Medicaid program as intended.
- Sells medical items and supplies for profit.
- Asks for and receives services or supplies that are not needed.
Help prevent recipient fraud. Some things you should not do . . .
Helpful Information to Know . . .
. . . When Reporting Fraud, Waste & Abuse
Before making your referral, gather as many facts as possible. Good information
to know includes:
- Medicaid Recipient Name
- Date of Birth
- Address
- Phone Number
- Medicaid Recipient ID Number
- Social Security Number
- Employment Information
- Other details about what you suspect may be happening that appears to be wrong.
Callers may remain anonymous when reporting suspected fraud.
When conducting an investigation, it is helpful if the investigator can contact you if there are questions about your referral. You may request that your name not be used in conjunction with the case.
HELP ENSURE MEDICAID FRAUD IS IDENTIFIED & STOPPED!
