MEDICAID FRAUD POLICY

Medicaid fraud is committed when an employer or employee is untruthful regarding services rendered to Medicaid Participant Directed Attendant Care Program recipients in order to obtain improper payment. The Medicaid Fraud and Residential Abuse Unit of the Minnesota Attorney General’s Office investigate

and prosecute people who commit fraud against the Medicaid program. Medicaid fraud is a felony and

conviction can lead to substantial penalties (including but not limited to: imprisonment up to ten years, or a fine up to $1,000 or an amount equal to twice the amount of the assistance or benefits wrongfully obtained, or both).

Additionally, individuals convicted of Medicaid Fraud will be excluded for a minimum of five years from any employment with a program or facility receiving Medicaid funding.

Medicaid Fraud may result from not following these rules:

• Recipients/responsible parties must sign PCA time sheets
• Do not sign blank time cards
• Only sign timecards for time that PCAs have worked
• PCAs/Support workers cannot be paid when they are traveling to and from your house or if they are “on call” by phone or pager
• PCAs cannot not get paid for time they are not with you

Suspected cases of fraud will be referred to local police authorities and the Attorney General’s Medicaid Fraud Control Unit for further investigation and possible prosecution.

I certify that I have read and understand what constitutes Medicaid Fraud and agree to not commit fraud as described above on time cards.

By signing below, I agree to the policy and procedure. I agree to comply and failure to do so may result in termination of client contract (services) and/or termination of employment with the Company.