IHSS Fraud Prevention and Reporting 5

Question 1

Which federal law makes it a crime to submit false claims to a government program like IHSS?

Accepted Answer

The False Claims Act

Answer

The False Claims Act imposes civil and criminal liability on those who knowingly submit false or fraudulent claims to federal programs.

Question 2

An IHSS provider is asked by their recipient to purchase groceries with program funds intended for in-home services. The provider should:

Accepted Answer

Decline, as IHSS funds are designated for authorized personal care and domestic services, not direct cash or goods purchases

Answer

IHSS funding pays for provider labor only; using program funds for goods purchases is a misuse of program resources.

Question 3

What is a 'kickback' in the context of IHSS fraud?

Accepted Answer

A portion of the provider's wages returned to the recipient in exchange for continued employment

Answer

A kickback occurs when a provider returns part of their wages to the recipient as a condition of keeping the job, which constitutes fraud against the IHSS program.

Question 4

A county fraud investigator contacts an IHSS provider for an interview about their timesheets. The provider should:

Accepted Answer

Refuse to speak without a lawyer present, then cooperate transparently once represented

Answer

Providers have the right to legal representation before speaking with investigators; once represented, cooperating honestly is the appropriate approach.

Question 5

What does 'overpayment recovery' mean in the IHSS program?

Accepted Answer

The process by which the state or county recoups funds paid due to fraud, error, or ineligibility

Answer

Overpayment recovery is the formal process used to collect funds that were incorrectly paid out due to fraud, administrative error, or recipient ineligibility.

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

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

IHSS Fraud Prevention and Reporting 5