State Survey Analysis Report
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X. Fraud: Intentional Overpayments
Definition of Fraud
18. How does the CCDF Lead Agency define fraud?
Twenty-one State agencies provide definitions of fraud (AZ, CA(DE), CA(DSS), CT, GA, KS, KY, MA, MD, MN, MS, MO, NE, NH, NC, OH, OK, UT, WA, WV, WI). The majority of definitions include the concepts of “intentional misrepresentation,” “acts designed to defraud or deceive,” and “intentional program violations” to describe agency, provider and client/parent fraud. Four State agencies cite definitions of fraud from State regulations (AZ, CA(DSS), MN, OH). Four State agencies did not provide a definition (AL, DC, MT, PR). (See Appendix 18 for detailed definitions of fraud for 21 State agencies.)