Most people don't realize that Medicaid and SNAP fraud investigations usually start with a simple computer program, not a tip from a neighbor or a suspicious investigator. These programs routinely compare the information people provide to different government offices, and that's where things often go wrong.
The issue typically starts during the Medicaid and SNAP application or recertification process with the Department of Social Services (DSS). When applying for or maintaining Medicaid and SNAP benefits, people tell DSS about their income, who lives in their household, and their overall financial situation. This seems straightforward enough, but here's where it gets complicated: the government already has most of this information from other sources, particularly tax returns.
Every time someone files their taxes with the IRS or state tax authorities, they're creating an official record of their income and household composition. The government's computer systems automatically compare this tax information with what was reported to DSS. When someone tells DSS they make less money than what their tax returns show, or lists different people living in their household, the system immediately flags this discrepancy.
Once a discrepancy is flagged, the investigation expands quickly. The government doesn't need to get warrants or special permission to look at various records because they already have access to them. They can see everything from bank statements to employment records. They know about any properties owned through public records. If there are children involved, they can access school enrollment information. Even utility bills and lease agreements become part of the investigation.
What makes this system particularly effective is that it's entirely automated. Nobody needs to be suspicious or file a complaint. The computer simply notices when the numbers don't add up or when information doesn't match across different government databases. It's like having your credit card company notice unusual purchases, except in this case, it's the government noticing inconsistent information.
By the time someone receives a letter about a Medicaid and SNAP fraud investigation, the investigators have usually already built much of their case. They've gathered records from employers, banks, schools, and other government agencies. They know what was reported on tax returns versus what was told to DSS. They have documentation of any properties owned, who's enrolled in local schools, and where utility bills are being paid.
This is why it's crucial to seek legal representation immediately if you receive any communication about a Medicaid and SNAP fraud investigation. The investigators already have access to your information from multiple sources, and they've likely already identified specific discrepancies they want to address. Having an attorney who understands this process can help protect your rights and guide you through what can be a complex and serious situation.
If you've been contacted about a Medicaid and SNAP fraud investigation, our experienced attorneys can help protect your rights and guide you through the process. Contact us for a confidential consultation to discuss your situation and understand your options.
