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complete and submit a Fraud Complaint Report GEN40 to the DPA, Program Integrity and Analysis (PI&A), Fraud Control Unit (FCU). Upon receiving information from and discussing the situation with the Fraud Control Unit (FCU), the CCPO Eligibility and Benefits Staff will determine if the family or provider reported information completely and correctly or not and if not, was there a deliberate intent to commit fraud. If there is insufficient evidence to support a fraudulent act no further action is taken. In instances that sufficient evidence establishes probable cause that fraud has occurred; action is taken to obtain an IPV determination. 1. FCU will: a. Determine if any additional documentation or information is needed from theDesignee’s hard copy file and request it from them directly; b. Contact the Designee responsible for the eligibility determination, request the file as needed or forclarification; c. Request copies of Request for Payment CC78 and Request for Amended Payment CC79 forms, as needed, from the CCPO Accounting via the general mailbox at ccpo@alaska.gov using the subject heading “Verified Payments Requested”; and d. Email the CCPO policy mailbox at dpaccp@alaska.gov to schedule time for case discussion, if needed, or if the Designee or CCPO Accounting has been unresponsive to information requests.

2. Designee and CCPO Accounting Staffwill: Within one (1) business day, provide the requested documentation or information to the FCU investigator. When additional time is needed to obtain the requested information, the Designee or CCPO Accounting Staff will email the FCU with the identified timeframe they can complete the request.

3. CCPO Eligibility and Benefits Teamwill: a. Respond to all emails to the policy mailboxtimely; b. Assist FCU as necessary to obtain requested information from the Designee or CCPO Accounting, if the Designee or CCPO Accounting is unresponsive; c. Schedule time as requested with the FCUinvestigator for case discussion; and d. Email the FCU to schedule time for case discussion if guidance is needed regarding referral of a case.