Suspected Fraud 510-03-10-25
(Revised 11/1/2020 ML #3600)
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The SFN 20 “SURS Referral Form” must be completed in all instances where there is a suspicion of fraud.
To assist with determining what constitutes a suspicion of fraud the following items should be considered:
Was information listed on the application(s) on file false? —meaning they were employed or had other assets or household members, etc., that were not disclosed at the time of application
Were false statements made by the household member – meaning denying (specifically indicated no) assets or employment on a certain date when there really were assets or employment
Recipient admitted they knew they should have reported
Other proof or evidence there was false information given in order to receive benefits
If you have any questions regarding determining a suspicion of fraud you may contact the Fraud, Waste, and Abuse Administrator at 701-328-4024 or via email medicaidfraud@nd.gov .