Your Guide to Medicaid Fraud in New York City
Medicaid fraud investigations in New York typically begin when a Medicaid fraud investigator obtains information suggesting that a person is illegally receiving Medicaid benefits. This may involve false information on applications or reselling products acquired through the Medicaid program. Evidence can come from various sources, including business and payroll records or even insights from co-workers and neighbors. Medicare vs Medicaid Medicare is a federal program authorizing the financing of healthcare costs for the elderly. In the Medicare program, healthcare providers submit claims reimbursed by private insurance companies, which are then compensated from Federal trust funds. Medicaid , in contrast, is a program assisting those with low income. In New York, the Medicaid program is managed by the Department of Health and local social services agencies. Frauds against these programs are prosecutable under several federal criminal statutes, such as: Conspiracy Insurance fraud