What happens if fraud or abuse is detected during an audit?
If fraud is detected during an audit we have to report it to the appropriate manager, department head, etc. We do not determine whether or not an individual will be released from their position and/or charged with fraud. Depending on the type of fraud (committed by an employee versus committed by a client), we are also required to report our suspicions to the Secretary of State, Medicaid, or other authorities.
