Medicaid fraud is when a person obtains, attempts to obtain or helps another obtain assistance benefits to which the person is not entitled by giving false statements, false representations or by withholding information. For example:
If you provide false information to the PCA assessor to obtain PCA services you don't need, that is fraud.
If you sign a time sheet that states a PCA worked 30 hours when he/she only worked 20 hours, that is fraud.
You or your PCA could be held legally responsible for Medicaid fraud. In Minnesota the "theft of public funds" is a felony, no matter the dollar amount. Possible penalties and consequences include:
Affected immigration status
Affected applications for other jobs
Disqualification from working in a Medicaid/Medicare-funded job for five years
Disqualification from Section VIII housing
Repayment of money
Recipients/responsible parties verify PCA hours and request payment by signing PCA time sheets.
Recipients/responsible parties must sign PCA time sheets
Do not sign blank time cards
Only sign timecards for time that PCAs have worked
PCAs cannot be paid when they are traveling to and from your house or if they are "on call" by phone or pager