13.1.6  W-2 Service Provider Fraud

13.1.6.1 Prohibited Conduct

13.1.6.2 Reporting W-2 Service Provider Fraud

 

The W-2 agency and DCF have the ability to pursue a civil or criminal action against any entity that receives funds to which it was not entitled. The W-2 agency contracts are specific regarding the responsibility of each W-2 agency to monitor its subcontractors and recover any overpaid amount that resulted for any reason. (See current contract)

 

13.1.6.1 Prohibited Conduct

The following conduct by W-2 service providers is prohibited:

  1. Knowingly and willfully making or causing to be made any false statement or representation of a material fact in any application for any benefit or payment;

  2. Having knowledge of the occurrence of any event affecting the initial or continued eligibility for a benefit or payment under the W-2 program and concealing or failing to disclose that event with fraudulent intent to secure a benefit or payment under W-2 either in a greater amount or quantity than is due or when no such benefit or payment is authorized;

  3. Soliciting or receiving kickbacks, cash, or other forms of compensation, for referring an individual or individuals arranging or furnishing an item or service for which payment is received under the W-2 program; and

Note: This provision does not include an amount paid by an employer to an employee who has a bona fide employment relationship with the employer for employment in the provision of covered items or services.

  1. Knowingly charging a W-2 recipient for services provided under W-2 or charging a W-2 recipient for non-W-2 services without first notifying the recipient of potential charges.

 

13.1.6.2 Reporting W-2 Service Provider Fraud

Report W-2 service provider fraud to:

Department of Children and Families

W-2 Fraud Unit

201 West Washington Ave

PO Box 8916

Madison, WI 53703-8916

Or e-mail: w2fraud@wisconsin.gov

 

 

 

 

History: Release 25-01.