Cov neeg tau txais txiaj ntsig kev dag ntxias
Rov qab mus rau Qhov Chaw Tshawb Fawb Hauv Tsev
The Department of Health Care Services (DHCS)/Investigations Division (ID) investigates complaints and referrals of beneficiary fraud received from all sources; and performs data analytics to identify and investigate beneficiary fraud, waste and abuse within DHCS programs.
Tom qab qhov kev tshawb nrhiav ua ntej tiav lawm thiab tsim kom muaj kev ntseeg siab ntawm kev dag ntxias (CAF), DHCS yuav xa cov ntaub ntawv kev dag ntxias mus rau lub chaw saib xyuas kev cai lij choj hauv zos kom raug foob thaum raug foob. Feem ntau, cov neeg tau txais txiaj ntsig kev dag ntxias raug xa mus rau hauv lub nroog tus kws lij choj lub chaw haujlwm.
Qee qhov piv txwv ntawm cov neeg tau txais txiaj ntsig kev dag muaj xws li:
- Muab cov ntaub ntawv tsis raug lossis tsis tseeb los dag ntxias kom tau txais cov txiaj ntsig Medi-Cal.
- Nrhiav ntau yam tshuaj los ntawm ntau tus kws kho mob thiab / lossis chav kho mob xwm txheej ceev rau lub hom phiaj tsis raug cai thiab / lossis vim yog kev quav tshuaj.
- Hloov cov tshuaj raws cai rau kev siv tsis raug cai.
- Cov Chaw Pabcuam Hauv Tsev Pabcuam Hauv Tsev uas xa daim ntawv teev sijhawm dag rau cov kev pabcuam uas lawv tsis ua.
- Committing identity theft or intentionally using another person’s identity to obtain Medi-Cal benefits.