RALEIGH, N.C. (WTVD) — North Carolina lawmakers pressed state officials Thursday during a high-stakes hearing on Jones Street over an ongoing Medicaid shortfall and allegations of fraud.
Attorney General Jeff Jackson and North Carolina Department of Health and Human Services Secretary Dev Sangvai were questioned about possible fraud, and the process for investigating fraud, as lawmakers remain at an impasse over the funding in the absence of a new state budget.
State health officials said they need an additional $319 million for this year’s Medicaid rebase, which they say is necessary to keep pace with rising costs and enrollment. Governor Josh Stein has also called on lawmakers to pass additional funding for Medicaid.
But some lawmakers argue the numbers presented by the administration do not add up. During the hearing, legislators noted that North Carolina ranks near the top…
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.