Adult Protective Service Practice Exam

What state agency is notified if the facility receives Medicaid funding and there is reason to believe abuse, neglect, or exploitation has occurred?

1. Department of Health

2. Department of Victim's Rights

3. Medicaid Fraud Control Unit

4. Agency for Health Care Administration

The correct answer is: Medicaid Fraud Control Unit

The Medicaid Fraud Control Unit is the appropriate agency to notify if there is reason to believe that abuse, neglect, or exploitation has occurred in a facility receiving Medicaid funding. This agency is specifically tasked with investigating allegations of fraud and abuse in health care programs, including those funded by Medicaid. They have the jurisdiction to look into cases where the integrity of care and the rights of individuals receiving services are compromised, ensuring accountability and protection for vulnerable populations. The unit's role emphasizes not only detecting fraudulent practices but also addressing the needs and rights of individuals potentially harmed by such misconduct within care facilities. This includes carrying out investigations and taking necessary disciplinary action, which is critical in environments that involve care for potentially at-risk individuals, such as the elderly or disabled.