Know your facts. Don’t be a victim. HAVE I WITNESSED FRAUD? If something does not seem right, check it out. THIS IS NOT. THIS IS FRAUD. Billing for hours that were not worked. Billing for hours when a participant cannot or does not need work done. Ex: During hospital stays, support- ed employment, adult day services, incarceration, etc. Submitting false receipts for reimbursement. Accidentally submitting a duplicate receipt for reimbursement. Submitting a rate that is unknowingly different from the approved plan. Using a different name to avoid background checks. Forging the participant or guardian’s signature on a timesheet. Changing the hours worked on a timesheet after it has been signed. Not knowing how your program works. For additional information regarding fraud detection, policy, and procedure please visit https://oig.hhs.gov/fraud/report-fraud or call the Office of Inspector General’s National Fraud Hotline at 1-800-HHS-TIPS ( 1-800-447-8477). Number of Medicaid fraud convictions in 2013 991 60% of those committing Medicaid fraud are relatives of the victim. 1in 5 Americans report that they’ve been victims of fraud