State Survey Analysis Report

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Penalties Due to Fraud

21. What penalties does your program mandate for clients, providers, or the agency for those who commit fraud leading to improper payments?

Exhibit 21 shows that almost all of the State agencies report penalties for improper payments due to fraud by clients/parents and by providers and nearly half report penalties for improper payments due to fraud by an agency or county/local provider agency.

• Twenty-four State agencies report penalties for improper payments due to fraud by clients/parents (AL, AZ, CA(DE), CA(DSS), CT, GA, KS, KY, MA, MD, MN, MS, MO, MT, NE, NH, NC, OH, OK, PR, UT, WA,WV, WI).
• Twenty-three State agencies report penalties for improper payments due to fraud by providers (AL, AZ, CA(DE), CA(DSS), CT, GA, KS, KY, MA, MD, MN, MS, MO, MT, NE, NH, NC, OH, OK, PR, WA,WV, WI).
• Fifteen State agencies report penalties for improper payments due to fraud by county/local agency (AL, CA(DE), CA(DSS), GA, KS, KY, MA, MS, MO, NE, NH, NC, WA, WV, WI).
• Fourteen State agencies report penalties for improper payments due to fraud by agency (AL, AZ, CA(DSS), CT, GA, KS, KY, MA, NH, OK, UT, WA, WV, WI).

State agencies also provide narrative descriptions of these penalties. Penalties for fraud by providers and parents include: investigation, prosecution, satisfactory repayment/recovery or ultimately termination. Penalties for agencies or county/local agencies include: investigation, prosecution, and termination. (See Appendix 21 for narrative responses.)

Reporting to Any Other Higher-Level Agency >>