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Wisconsin Department of Children and Families Wisconsin Works (W-2) Manual |
13.3.4.1
Prohibited Conduct
13.3.4.2 Reporting
W-2 Service Provider Fraud
The W-2 agency and the State 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 2013 W-2 Contract, Section XI. D.)
The following conduct by W-2 service providers are 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.
4. 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.
Report W-2 service provider fraud to:
Department of Children and Families
W-2 Fraud Unit
PO Box 8916
Madison, WI 53708-8916
Or e-mail: w2fraud@wisconsin.gov
History: There are no previous versions of this policy.