Welfare Fraud investigations are mandated by the State of California within the Welfare and Institutions Code Sections for the protection of Welfare funds. Welfare fraud is prosecuted under Welfare and Institutions Code Section 10980. In the absence of special sections within the Welfare and Institution Code, welfare fraud is prosecuted under Penal Code Section 487 (Grand Theft), Penal Code Section 72 (Presentation of fraudulent claim), Penal Code Section 118 (Perjury) and Penal Code Section 182 (Conspiracy).
Reporting Welfare Fraud
Cases are first received by the Welfare Fraud Investigator. If you believe you may have witnessed welfare fraud, which is considered a crime, you may contact the Special Investigations Unit, located within the San Benito County Health and Human Services Agency. Please call (831) 630-5125 to speak with the Welfare Fraud Investigator and file a report. Reports can be made anonymously, if necessary. If you would like to report fraud in another county, CLICK HERE
A complete and detailed referral should be made to the Fraud Unit when there are reasonable grounds to suspect that a crime, such as fraud, perjury, embezzlement, trafficking, etc., against a public social services program has been committed.
What is Welfare Fraud ?
Fraud exists when a person, on behalf of himself or others has:
After a Report is Made
Cases of suspected fraud are evaluated by the San Benito County Special Investigations Unit. If public assistance over payments are determined, repayment arrangements are established. These cases may also be referred to the San Benito County District Attorney’s Office for consideration of prosecution. Approximately $65,000 is recovered and repaid each year, as a result of Welfare Fraud investigation activities. We do prosecute Welfare Fraud in San Benito County.
Reporting Medi-Cal Fraud?
The Department of Health Care Services (DHCS) asks that anyone suspecting Medi-Cal fraud, waste, or abuse to call the DHCS Medi-Cal Fraud Hotline: (800) 822-6222. Our recorded message may be heard in English and four other languages: Spanish, Vietnamese, Cambodian, and Russian. The call is free and the caller may remain anonymous. Report Medi-Cal fraud (administered by the California Department of Health Services). You can also call about Medi-Cal Beneficiary Fraud and Abuse at: (800) 822-6222
Reporting Other Types of Fraud