If you received a letter from the Bureau of Fraud Investigation, then you are currently under investigation for Medicaid fraud.
Most people who receive these letters are shocked. Maybe they provided inaccurate or incomplete information on their application. But they never intended to commit fraud.
Here’s the problem. When you sign an application for Medicaid or Family Health Plus benefits, you certify under penalty of perjury that you are providing true, accurate, and complete information. If your application contains inaccurate or incomplete information, then you may be prosecuted for a crime.
Most of the cases investigated by the Bureau of Fraud Investigation involve one or more of the following situations:
- failing to disclose changes in your employment or income
- providing a false address or failing to disclose a second home
- failing to disclose everyone who lives with you
- falsely claiming that you were separated from your spouse
- failing to disclose rental income or income from a business
- failing to disclose bonuses or other income not on your pay stubs
- failing to disclose financial support from family members
If the investigator determines that you intentionally provided false, misleading, or incomplete information on your application or recertification, they may refer your case to the District Attorney for criminal prosecution. And if you are convicted, you could be sentenced to up to seven years in prison.
Or the investigator could decide to let you settle the case by paying back the benefits that you received when you were not eligible. In that event, there will be no criminal charges, no prison sentences, no impact on your credit report, and no adverse immigration consequences.
How do you settle an investigation and avoid criminal charges? That all depends on your specific facts and circumstances – and on how you handle the investigation.
If you receive a letter from the Bureau of Fraud Investigation, then you should consult with an experienced Medicaid fraud attorney immediately to protect your rights. Your attorney will review your financial documents, explain whether you have a problem, and help you develop a strategy designed to avoid potentially devastating consequences.
To arrange a free and confidential consultation with an experienced Medicaid fraud attorney, call John Howley, Esq. at (212) 601-2728 or click here to reach our offices via email.
John Howley, Esq.
The information you obtain at this site is not, nor is it intended to be, legal advice. You should consult an attorney for advice regarding your individual situation. I invite you to contact our law offices and welcome your calls, letters and electronic mail. Contacting us does not create an attorney-client relationship. Please do not send any confidential information to us until such time as an attorney-client relationship has been established. I practice law and offer legal services only in jurisdictions where I am properly authorized to do so. I do not seek to represent anyone in any jurisdiction where this web site does not comply with applicable laws and bar rules.