IHSS Fraud Prevention and Reporting 2

Question 1

An IHSS provider signs timesheets for hours they did not actually work. This is best described as:

Accepted Answer

Timesheet fraud

Answer

Claiming payment for hours not worked is timesheet fraud, a serious IHSS program violation.

Question 2

Which of the following is a red flag that a recipient may be coercing their provider into committing fraud?

Accepted Answer

The recipient asks the provider to sign blank timesheets in advance

Answer

Asking a provider to sign blank timesheets allows the recipient to fill in unauthorized hours, a clear fraud indicator.

Question 3

What does 'double billing' mean in the context of IHSS fraud?

Accepted Answer

Claiming payment for the same hours from multiple programs or payers

Answer

Double billing occurs when the same service hours are billed to more than one program, such as IHSS and Medi-Cal simultaneously.

Question 4

A provider is caring for an IHSS recipient but also watching their own children during those same hours. What is the main concern?

Accepted Answer

Billing for hours not fully devoted to the recipient, potentially constituting fraud

Answer

Providers must dedicate authorized work hours entirely to the recipient; splitting attention with personal obligations can constitute fraudulent billing.

Question 5

Which agency is primarily responsible for investigating IHSS fraud allegations in California?

Accepted Answer

The California Department of Social Services (CDSS)

Answer

CDSS oversees the IHSS program and has authority to investigate fraud allegations, often in coordination with local counties.

(IHSS) In-Home Supportive Services certified provider Practice Test

(IHSS) In-Home Supportive Services certified provider Practice Test

IHSS Fraud Prevention and Reporting 2