Discussing Fraud Charges With A Medicaid Fraud Lawyer In Rockland County, NY
New York Medicaid patients must complete an application to receive the insurance. When applying, they must present information about their income. They must also provide information about stepparents who generate income as well. If any information is misrepresented, the caseworker could deny the application or file charges against the applicant. A Medicaid Fraud Lawyer Rockland County NY could help individuals who are facing these charges.
Falsifying Application Information
The caseworker must verify all information that is presented on the application. This includes primarily the income of the parent or applicant. For minors, the parents must provide a pay-stub or written statement from their employer. They must also provide details for stepparents. For disabled adults, they must provide information about every member of their household. If any of this information is false, the applicant could be subject to perjury charges, if they receive benefits based on this information.
Hiding Income from Providers
Income that isn’t reported to the IRS is often hidden from caseworkers as well. However, if the caseworker discovers other sources of income, they could deny the application. All applicants must meet the income restrictions before they receive the insurance. If they hide a portion of their income, they are guilty of fraud.
Allowing Other Individuals to Use the Insurance
It is an act of fraud for anyone other than the recipient to use their Medicaid coverage. Since the caseworker receives claims for services, they review information provided by the doctor. Telltale signs are differing blood types. The recipient who was awarded coverage is allows to use the insurance. If the caseworker suspects that another individual has used this coverage, the recipient and the individual using their coverage are guilty of fraud.
New York Medicaid guidelines require all applicants to meet income requirements. Any income beyond these values could make the applicant ineligible for coverage. Acts of fraud include hiding any portion of their income, providing false information, or allowing others to use their coverage. At any time their caseworker believes that the applicant is guilty of fraud, the coverage could be suspended and formal charges could be filed. Any recipient facing these charges should hire a Medicaid Fraud Lawyer Rockland County NY by contacting Mark Aberasturi today.
