23 Ill. Adm. Code 2060.1210. INTENTIONAL PROGRAM VIOLATIONS AND FRAUD

Section 2060.1210 Intentional Program Violations and Fraud

a) Child care providers whose employees are covered by a collective bargaining agreement with IDEC shall refer to the relevant agreement, rather than the procedure outlined in this Section.

b) An intentional program violation occurs when:

1) Parents or other relatives knowingly provide false or misleading statements, or engage in misrepresentation, concealment, or withholding of relevant facts or information; or

2) Parents or other relatives or child care providers knowingly fail to comply with the requirements of the Child Care Assistance Program as stated in 45 CFR 98.20 and 98.21 and 89 Ill. Adm. Code 2060.110, 2060.210, and 2060.230.

c) An intentional program violation may include, but is not limited to:

1) Providing false employment information, including concealing employment or neglecting to report change in employment or job loss;

2) Providing false information regarding wages or other income;

3) Misrepresenting or failing to disclose household membership;

4) Falsifying eligibility documentation or information;

5) Claiming child care assistance for care provided by an ineligible provider;

6) Claiming child care assistance for care provided by an eligible provider without the authority to do so;

7) Misrepresenting the amount of child care needed or used;

8) Falsifying sign-in/sign-out records;

9) Inaccurate reporting of child care provider licensing status;

10) Failure to disclose child care provider relationship to the children or the location at which care is provided;

11) Billing for days of care that were not provided;

12) Failure to comply with required Health and Safety training requirements as stated in 45 CFR 98.41 and 23 Ill. Adm. Code 2060.830;

13) Failure to comply with licensing or monitoring requirements as stated in 23 Ill. Adm. Code 2007, 2008 and 2009; or

14) Failure to establish and comply with a repayment plan for an improper payment.

d) For the purposes of this Part, fraud is defined as an offense committed by any person or persons who scheme to deceive, falsify, conceal, create, or cover up material facts to receive child care benefits or to financially gain or profit from the Child Care Assistance Program. The offense must be committed willfully and knowingly. Examples of fraud include, but are not limited to:

1) Manufacturing paystubs, income information, school registration, grades, or educational schedules;

2) Creating fictitious children;

3) Creating fictitious child care settings; or

4) Creating and participating in a conspiracy/scheme with other parents or other relatives and/or child care providers to defraud the State for financial gain.

(Source: Recodified from 89 Ill. Adm. Code 50 (Department of Human Services) pursuant to P.A. 103-0594, at 50 Ill. Reg. 10370)