Integrity's data is subject to audit at any time. Audits are used to prevent, detect, and investigate fraud, waste, and abuse in the Medicaid Program. It is essential that you clock your time in/out and provide the required documentation to support the services you are providing to our clients. Failure to maintain accurate records can result in audits that might result in temporary suspension, possible exclusion from the program, recovery of improperly expended funds, and/or criminal prosecution.

Audits might be triggered due to repeated patterns of manual entries, missing documentation, fraud hotline complaints (tips), overlapping services, overworking the plan, and other issues.

If you are having problems clocking your time or providing documentation, please contact your supervisor for assistance. It is your responsibility to have the proper working equipment to perform your job. Time worked must be real time at the beginning and end of each shift.

Staff that work with consumers that have approved transportation in their plans are eligible for mileage reimbursement. However, the reimbursement requests must be approved by your immediate supervisor. The trips need to be related to your consumer's plan and identified by the goal that you are working on at the time of travel. Unnecessary travel and/or travel for staff's personal needs are not eligible for reimbursement. Mileage records are audited, and any discrepancies could be determined as "fraud" and subject to further investigation.

If you are not certain of acceptable travel locations, please contact your supervisor. Transportation plans are limited to approved miles per month and reimbursed at the rate determined by the PASSE. Any trip in excess of 30 miles should be prior approved by your supervisor. Mileage forms are provided for your use. Mileage is due weekly, and any corrections requested are due by the 10th of the following month. Mileage reimbursements that are more than 30 days old will not be processed for payment. NOTE: sometimes mileage is prorated between serval staff members. If your mileage is turned in late it may not be paid because the monthly allotment was paid to someone else.

1. You must clock in at the beginning of your shift with your consumer and complete documentation must be entered daily before you clock out of your shift. Failure to enter in real time and complete documentation daily may lead to disciplinary actions.

2. Late time edits or shifts with untimely/inappropriate documentation will be submitted for retro pay after corrections are made.

3. Incomplete or incorrect timekeeping or documentation are the employee’s responsibility to make corrections. The deadline for correcting errors is by 12:00am (midnight) on Monday. It will be up to the employee to check messages in MITC for rejected timekeeping. Incomplete timekeeping/documentation cannot be sent to payroll until they are corrected. Failure to complete time or documentation after 30 days will result in non-payment for hours worked.

4. Documentation must be completed per the plan and the instructions of your immediate supervisor.