As an approved provider or contracted agency with public health and human services departments,
employer/Consumers/Attendant/employees must comply with all applicable Federal, State, and Local
laws. Employers/Consumers/employees have the responsibility of identifying, investigation, and
referring to law enforcement officials, cases of suspected fraud or abuse.
Fraud is a crime against all taxpayers and is a state and federal crime. Employers are mandated
reporters of any suspected Fraud.
All cases of possible fraud and program abuse should be reported immediately.

To make a report,
please call Fraud hotline: 1-877-532-8530.

Fraud is defined as: The intentional deception or misrepresentation that an individual knows, or should
know to be false, or does not believe to be true, and makes, knowing the deception could result in some
unauthorized benefit to himself/herself or some other person(s).

Examples of Fraud (but not limited to)

• Accepting pay for time you did not work.

• Recording more time than worked on a time sheet/time record, “Padding” the time sheets/timerecords. Such as showing up late or leaving early or taking a break and not subtracting breaktime when you write your time down.

• Stating that the tasks or procedure were completed when you did not do them.

• Forging another employee or Consumer’s signature.

• Changing another person’s time sheet, time records or paperwork.

• Turning in a false claim/Time Sheet/Time records for the time worked or tasks completed when
they were not done, and you knew it.

• Suggesting or helping a Consumer get services or supplies that are not required for the persons
disability.

• Not following all parts of the contract with the company/provider.

• Not providing the expected quality of service for the Consumer.

• Billing/Clocking in for time worked when you were working at another job.

• Billing/Clocking in for time that the employee or Consumer were admitted into the hospital, or
other governmental/health care/treatment facility.

• Falsification of Time Sheets, Clocking in/out and/or other records.

• Providing false information regarding the Consumer’s condition, functional capacity, or level of
care needs.

Committing Fraud

Fraud may result in significant penalties ranging from warnings to suspension and/or termination of
services/employment, fines, or jail time. If an employee/Consumer/Attendant gives false information or
knows of false information being given and fails to report it, he/she could be convicted of a crime. The
employer/Consumer/Attendant might have to return any money received, pay a large sum of money in
fines and/or court costs, or go to jail for up to a year or more. If there is reason to believe that fraud or
misconduct is occurring, you must promptly report the existence to the Company and the appropriate
Federal and State authorities.
I have received a copy of this document, read and understand the statement written above and agree
not to commit fraud and I promise to report any suspension of fraud.