OAR 413-310-0235: Referral to Other Agencies

(1) The Chief Financial Officer of the Department of Human Services (DHS) Financial Services Section will be responsible for coordinating the investigation of fraud committed by an agency employee or designated non-state employee who has been entrusted with the custody of funds or property or has been an accomplice to financial fraud. (2) SOSCF Assistant Administrator of Management Operations will be responsible for coordination of the investigation of fraud committed by an individual or organization external to the agency, such as a client. Examples include fraudulent reporting and eligibility fraud. (3) Those coordinating the investigation are responsible for notifying the following parties, as appropriate: (a) The Director of DHS; (b) DHS Collections Unit (to collect from future payments or prepare invoice for contracted providers); (c) DHS Communications (to handle all media inquiries); (d) DHS Human Resources/Organization Development (when SOSCF employees are involved); (e) DHS Internal Audit Director; (f) Department of Justice (for administrative recovery); (g) Department of Justice Medicaid Fraud Unit (for funds established by Title XIX of the Social Security Act); (h) Oregon State Police (when criminal intent is suspected); (i) Secretary of State Audits Division (within 30 days of the beginning of the investigation); (j) Department of Administrative Services Risk Management (within 30 days of the beginning of the investigation).