What flags a case
HRA fraud investigators use a range of techniques to find Medicaid fraud. These are the things most likely to flag your case:
- The address on your tax returns is not in New York City
- Your traceable income is higher than what you declared
- You didn't declare your spouse's income
- Your declared income is too low to explain your expenses
- You own several properties in or outside New York City
- Your bank account activity looks suspicious
- You own or lease expensive cars
- Someone reported you to HRA
How investigators build the case
Investigators often contact your employer with a payroll or wage verification letter. They pull copies of your deeds and mortgage documents, and they can get information about your bank accounts. All of this is collected to show that you committed fraud.
If one of these issues applies to you, you'll know what the problem is when you receive an HRA interview letter. Read on to learn what to do when investigators contact you about your Medicaid eligibility.