State of Wisconsin
Department of Health Services

HISTORY

The policy on this page is from a previous version of the handbook. 

20.4 Questionable Items

20.4.1 Questionable Items Introduction

20.4.2 Tuberculosis

20.4.3 Farm and Self-employment Income

20.4.1 Questionable Items Introduction

Information is questionable when:

  1. There are inconsistencies in the group’s oral or written statements.

  2. There are inconsistencies between the group’s claims and collateral contacts, documents, or prior records.

  3. The member or his/her representative is unsure of the accuracy of his/her own statements.

  4. The member has been convicted of Medicaid recipient fraud or has legally acknowledged his/her guilt of recipient fraud.  Do not require a member to provide verification for the sole reason that they have acknowledged or been convicted of fraud in any other public assistance or employment program.

  5. The member is a minor who reports that s/he is living alone.  This does not apply to minors applying solely for FPW.

  6. Unclear or vague (i.e., information provided, but not clear).

20.4.2 Tuberculosis

See 25.7 Tuberculosis for appropriate verification items if information provided is questionable.

20.4.3 Farm and Self-employment Income

See 15.6.6 Verification for appropriate verification items if information provided is questionable.

 

 

 

 

 

This page last updated in Release Number: 08-01

Release Date: 02/01/08

Effective Date: 02/01/08


The information concerning the Medicaid program provided in this handbook release is published in accordance with: Titles XI and XIX of the Social Security Act; Parts 430 through 481 of Title 42 of the Code of Federal Regulations; Chapters 46 and 49 of the Wisconsin Statutes; and Chapters HA 3, DHS 2, 10 and 101 through 109 of the Wisconsin Administrative Code.

Notice: The content within this manual is the sole responsibility of the State of Wisconsin's Department of Health Services (DHS). This site will link to sites outside of DHS where appropriate. DHS is in no way responsible for the content of sites outside of DHS.

Publication Number: P-10030