048-16 Wyo. Code R. §§ 16-11 - Investigation of Suspected Fraud, Waste, or Abuse of Services by Clients
(a) The Department is authorized to identify
and investigate, or to refer to appropriate agencies for investigation,
suspected fraud, waste, or abuse of services by clients identified pursuant to
this section. An investigation shall be for the purpose of determining if:
(i) Fraud, waste, or abuse of services
occurred or is occurring and can be documented;
(ii) Sufficient evidence can be developed to
support restricting client participation; or
(iii) Sufficient evidence can be developed to
support recovery of overpayments.
(b) The Department may, at any time, refer
suspected client fraud, waste, or abuse of services, to the DFS Eligibility
Integrity Unit or any other appropriate law enforcement agency.
(c) For purposes of its duties under this
Chapter, the Department may use any relevant information to conduct an
investigation.
(d) After the
completion of or during an investigation, the Department shall take one or more
of the following actions:
(i) Determine that
no further action is warranted; or
(ii) Impose adverse actions against the
client.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.