Who is likely to be Investigated For Medicaid Fraud in New York?

There are many ways Medicaid fraud is detected. In New York, most Medicaid fraud cases are flagged because of undisclosed income or because the recipient doesn’t live in New York. The HRA fraud investigators use various techniques to investigate Medicaid fraud. Here is the list of things that will likely flag your case:

• The address you use on your tax returns is not in NYC
• Your traceable income is higher than what you declared
• You didn’t declare your spouse’s income
• Your incomes is suspiciously low and can’t justify your expenses
• You own multiple properties in and outside of NYC
• Your bank account activity is suspicious
• You own or lease expensive cars
• Somebody just reported you to the HRA.

The investigators often contact your employers through payroll inquiry verification letters. They obtain copies of your deeds and mortgage documents. They even have information about your bank accounts. This is all done to obtain evidence that the you committed fraud.

These are the main Medicaid fraud target categories in New York. If you have one of these issues, you will know what the problem is when you receive a HRA Interview letter.  Read more to find out what to do when the investigators contact you about your eligibility for Medicaid benefits.