FRAUD/RESOURCES/RECOVERY

The Fraud Unit is responsible for the investigation of all allegations of welfare fraud. These allegations are received from agency staff, the general public, law enforcement personnel, employers, etc. The Fraud Unit is also responsible for case preparation, including collection of supporting documentation and the preparation of overpayment budgets, for the District Attorney's review to determine if the case should be prosecuted or disposed of administratively. These cases also carry disqualification from the assistance programs.. The unit is responsible for preparation of all legal documents regarding fraud cases for prosecution. The staff must testify in court when needed.

The Resource Unit is responsible for recovering funds from resources such as property (Mortgage or Medicaid Real Property Liens), accidents (SSL 104B Lien), collection of Medicaid from estates (Claim Against Estate) and collection of funds from Personal Needs Accounts in nursing homes. The unit is responsible for the preparation and filing of all pertinent legal documents, conducting property searches and Surrogates Court searches for estate filings. In addition, the unit acts on real estate issues, requesting appraisals on real estate.

The Recovery Unit is responsible for the collection and monitoring of all fraud and non-fraud overpayment collections. The unit is responsible for maintaining an overpayment case file on all closed cases and all fraud cases with overpayments, maintaining balances and entering all activity on the computer system (CAMS). This unit also interacts with clients regarding overpayments, and state and federal collection programs.

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