skip to content
Primary navigation

Program integrity

Program integrity provides accountability and ensures that taxpayer dollars are spent efficiently. The Program Integrity Oversight Division identifies and prevents provider and recipient fraud, waste and abuse in public programs administered by DHS.  

Some of the public benefit and economic assistance programs include :

What is fraud and how to report it

Fraud is wrongful or criminal deception intended to result in financial or personal gain. Fraud includes false representation of fact, making false statements, or by concealment of information. Examples of fraud include:

  • Falsifying claims/encounters
  • Double billing
  • Billing for services not provided
  • Accepting kickbacks for referring Medical Assistance patients to a particular provider
  • Billing for services for a recipient or provider who is incarcerated or deceased
  • Billing inflated hours to an agency providing home healthcare
  • Failing to accurately report on applications who and how many people make up a household
  • Forging or altering documentation
  • Receiving benefits in more than one state at a time
  • Underreporting income to receive MinnesotaCare, SNAP or other benefits.

Waste and Abuse are practices that result in unnecessary cost to health and public benefit programs, or payment for services that are not medically necessary.

To report fraud

Key functions

back to top