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Fraud Policy

POLICY TITLE: REPORTING SUSPICION OF FRAUDULENT ACTIVITIES
POLICY NUMBER: FSSA-AD1-16
PURPOSE: To ensure that the policy for reporting suspicion of fraudulent activity is consistently applied within the Indiana Family and Social Services Administration (FSSA), as well as to ensure employees, clients and providers know confidential channels to report suspicious activities
DEFINITIONS: Fraud: A false representation of a matter of fact, whether by words or by conduct, or by concealment of that which should have been disclosed, that is used for the purpose of misappropriating property and/or monetary funds from FSSA.
STATEMENT OF POLICY: It is the policy of FSSA to thoroughly and expeditiously investigate any reported cases of suspected fraud to determine if disciplinary, financial recovery and/or criminal action should be taken.
CONFIDENTIALITY: All reports of suspect fraud must be handled under the strictest confidentiality. Only those directly involved in the investigation should be given information. Informants may remain anonymous but should be encouraged to cooperate with the investigators and should provide as much detail and evidence of the alleged fraudulent act as possible.
PROCEDURES AND RESPONSIBILITIES:
  1. Anyone suspecting public assistance fraud should report their concerns at 1-800-446-1993.
  2. Any employee with FSSA (temporary staff, full-time staff and contractors) who receives a report of suspected fraudulent activity must report this information within the next business day. You are to contact Internal Investigations at (317) 234-1604. FSSA employees have the responsibility to report suspected fraud. All reports can be made in confidence.
  3. The Compliance Division shall conduct investigations of FSSA employees, public assistance recipients, providers, contractors, or subgrantee fraud. Assistance programs include Food Stamps, Medicaid Temporary Assistance to Needy Families (TANF) and Child Care Development Fund (CCDF).
  4. If necessary you will be contacted for additional information.
  5. Periodic communication through newsletters and meetings should emphasize the responsibilities and channels to report suspected fraud.
ORIGINATING OFFICE: Compliance Division, Office of General Counsel
EFFECTIVE DATE: August 12, 2002
APPROVAL: John Hamilton, Secretary
REVISED: September 30, 2007
APPROVAL: Mitchell Roob, Secretary