Receiving A Medicaid Fraud Letter…
Usually, Medicaid Fraud investigations occur when the investigator suspects that you have been lying or failed to disclose important information, whether you are a recipient (individual or families) of Medicaid or a provider (doctors, dentists, pharmacies, clinics, hospitals, etc).
Who is the Medicaid Fraud Investigator?Medicaid Fraud Investigations often begin with a letter from a Medicaid Investigator. The Investigator may involve one or more of the following government agencies, depending on the nature of the case: NYC Human Resources Administration, Office of Medicaid Provider Fraud and Abuse Investigation, Bureau of Fraud Investigation, New York State Attorney General's Office, Medicaid Fraud Control Unit, or the Federal Bureau of Investigation.
What does the letter ask for?The letter may ask for some proofs or certain documentation and to meet with the Investigator for an interview.
Do not ignore this letter of investigation or the interview! Instead, protect yourself.By the time you have received the letter of investigation, the investigator has likely gathered evidence against you. Anything you say may be used against you and could result in criminal charges being filed or other forms of harsh consequences.
What should you do?Consult with an experienced attorney to understand your options and prepare your defense. Do not try to attend the interview by yourself or settle the Investigation case on your own. If you self-incriminate yourself, you may face potentially very serious civil and criminal consequences. Your attorney can represent you in an effort to avoid or reduce the possible charges and can also negotiate a settlement that will save you time, money, and consequences.