Health Care Fraud:
Health care fraud is when a Medicaid provider submits false or fraudulent claims for payment of health care services.
Welfare Fraud:
Welfare fraud is any intentional action which causes a participant or welfare provider to receive benefits to which they are not entitled.
To file a fraud complaint regarding false or fraudulent claims for payment of health care services. Medicaid providers may be:
- Dentists;
- Hospitals;
- Mental health or case management providers;
- Nursing homes;
- Pharmacies;
- Physicians;
- Transportation providers; or
- Any other provider who bills the Medicaid program for services.
To file a fraud complaint regarding any intentional action which causes a participant or welfare provider to receive benefits to which they are not entitled.
Participants may receive benefits for:
- Cash Assistance;
- Energy Assistance;
- Food Stamps;
- ICCP (Idaho Child Care Program);
- Medical; or
- WIC Program (Women, Infants & Children).
Welfare providers may receive reimbursement for:
- Child Care;
- Employment Services;
- Energy Conservation; or
- Food Stamps.