Your first warning of a Medicaid fraud investigation comes when you receive a letter asking you to bring your tax returns to an “interview.” The letter usually comes from the Human Resource Administration, the Department of Social Services, or the HRA’s Investigation Revenue and Enforcement Administration, Bureau of Fraud Investigation.
You must not ignore this letter. You are the target of a Medicaid fraud investigation. You must take steps to protect your rights.
By the time you receive the target letter, an investigation is already well under way. The investigators have already compared your Medicaid application and re-certifications with your payroll records, credit reports, bank balances, and other records. They have been to your home, watched who went in and out, taken pictures for their investigation file, and spoken with your employer. They know how much you earn, where you live, who lives with you, and whether the people who live with you have an income that was not reported on your application and recertifications.
Anything you say to the investigators will be used to build the case against you.
You should speak with a lawyer before you speak with the investigators. The best Medicaid fraud defense lawyers will take the time to understand your situation, review your financial records, and talk to the investigators before you say anything. In most cases, you will never have to appear for an interview or answer any questions. Your lawyer can negotiate with the investigators on your behalf. Even if you made mistakes and have to pay back benefits, your lawyer can negotiate with the investigators to reduce the amount you owe and spread any payments out over time.
Do not walk into a trap. Consult a with an experienced Medicaid fraud defense lawyer before you say anything to the investigators.
John Howley, Esq. has represented hundreds of people just like you before the Bureau of Fraud Investigation. Call him directly at (212) 601-2728 to schedule a consultation.
Medicaid fraud cases are often won (or lost) at the investigation stage, Before you talk to investigators, educate yourself by downloading a free copy of our special report.