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W-2 agencies are responsible for timely referral of participants receiving any W-2 or transportation payments or services for investigation when fraud is suspected. When a W-2 agency or its designee has reason to believe that a participant has engaged in fraudulent reporting or a failure to report a change in circumstances, resulting in an overpayment, the case must be referred to fraud investigation, not the FEV program. Fraud investigative activities must be conducted in accordance with the requirements specified in the IMM, Section 13.2.
W-2 fraud investigation referrals should be made to the contracted fraud investigative service provider. Fraud referrals must meet the referral criteria specified in the IMM, Section 13.2.
The W-2 agency is responsible for the complete and accurate reporting of both the FEV process and W-2 fraud investigation in CARES. W-2 agencies have the option of establishing local agreements to delegate these activities with county IM agencies, if appropriate.
The W-2 agency has the first responsibility to determine whether the completed fraud referral returned by the investigative service provider meets the satisfactory criteria identified specified in the IMM, Section 13.2. Should a dispute occur between the W-2 agency and the investigative service provider, the dispute must be referred to State Public Assistance Fraud staff identified in the IMM, Section 11.1.1.6.
This
page last updated in Release # 11-02
Release Date: 04/07/11
Effective Date: 04/07/11