Payroll & Invoice Fraud!!!

What is fraud?
Fraud is typically defined as "the intentional misrepresentation of information for personal benefit or gain"

Fraud is a crime!

Some examples of fraud
- Using false identification to gain employment
- Signing someone else's name without legal authority to sign
- Signing a timesheet that contains hours not actually worked by that employee.
- Changing information on timesheet after it has been signed
- Putting or allowing time on a timesheet that was not actually worked
- Requesting payment for hours worked while the employer is in a hospital or nursing home

Some examples of invoice fraud
- Including services on the invoice that were not actually performed
- Billing for a service other than the one that was provided.
- Billing for more hours for a service than was actually provided
- Falsifying an authorized signature on an invoice

How to report potential fraud
Information about potential payroll fraud can be reported to Allied Community Resources in a number of ways.

- Call Allied at 860 627-9500 (ext 139) and ask to speak with Compliance Auditor.

- Call Allied and ask for Fraud Hot Line 860 627-9500 (ext 326) or toll free at 866-598-2227 (ext 326).

- Send written information to Allied Community Resources, P.O. Box 479 East Windsor CT 06088 Attention: Compliance Auditor

- send email information ReportFraud@alliedgroup.org

When sending written statements, please include:
- As much specific detail (who what where when how) as you have.
- Indicate whether or not you would be willing to speak to someone who might be evaluating your allegation
- Give a contact method- typically a current phone number.
- At the bottom of the letter, sign your name unless you wish to remain anonymous and indicate the date of your letter.

- For CT ABI, PCA or Elder programs
Call the Department of Social Services Hotline directly at 1-800-842-2155

Consequences of fraud
Allegations of payroll fraud are reported by Allied Community Resources to the Connecticut Department of Social Services or the Connecticut Department of Development Services for their evaluation and investigation.

Based on the results of an investigation, any of the following are possible.

- Participants could lose eligibility to participate in their program
- People can be ineligible to become an employee or can be removed from employment
- Participants or employees can be required to return money
- Legal charges can be filed against a participant or employee
- Agency providers could be removed from an individual's plan, or eliminated as an approved service provider
- Agency providers could be required to return money, or legal charges against the Agency may occur

Don’t jeopardize your participation in a program by participating in or allowing Fraud !!!

WS-i90-V 07/01/11