Common signs of Medicaid fraud include the following:
- Billing for services not provided
- Unusual or inflated billing patterns
- Incorrect or falsified documentation (e.g., timesheets, travel reimbursements, care plans, Service Assessments, Home Visits)
- Unexplained changes in Medicaid recipients’ or the Individual's records or service delivery
- Providers or DSPs offering services that are not part of the care plan