Gov. Janet Mills said she expects President Donald Trump’s administration to withhold Medicaid funding from Maine even after state officials responded Friday to the federal government’s request for information on MaineCare by describing how the program operates within the law and properly investigates claims of fraud.
Maine Department of Health and Human Services Commissioner Sara Gagne-Holmes sent responses Friday to Dr. Mehmet Oz, the Centers for Medicare and Medicaid Services administrator, which answered 33 questions Oz had sent the state in early February.
The questions came after a January report from a…
This category refers to crimes committed by employees or insiders against their own organizations. It is often the most damaging because the perpetrator has authorized access to systems.
- Asset Misappropriation: The most common form, involving the theft of company resources. This ranges from simple “skimming” (taking cash before it’s recorded) to complex schemes involving the theft of inventory or intellectual property.
- Payroll Fraud: Employees may create “ghost employees” on the system, falsify their own timesheets to claim unworked overtime, or divert salary payments to their own accounts.
- Financial Statement Fraud: Management deliberately misrepresents the company’s financial health by inflating revenue or hiding liabilities to attract investors or meet performance bonuses.