How to Identify Recipient Fraud

Fraud is a deliberate deception or misrepresentation that someone makes in order to receive benefits he or she does not deserve.

Most people are honest and hardworking.  A few individuals try to game the system to receive money or benefits they don't deserve.  They are making a mistake-it is a crime to commit insurance fraud, and people can lose their benefits for it, and be prosecuted.

Examples of fraudulent recipient activities include:

• Loaning a Medicaid Identification or other insurance card to another person
• Using someone else's Medicaid Identification or other insurance card
• Forging or altering a prescription
• Doctor shopping in order to obtain multiple prescriptions
• Using multiple Medicaid Identification cards
• Intentionally receiving unneeded services or supplies
• Accepting cash or other bribes for receiving services
• Re-selling items provided by the Medicaid program
• Deliberately giving incorrect information to receive benefits

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