Medicaid Fraud Elements
| Element Monitored | General Rule | Nursing Rule | Daily Living Service Rule |
| Falsified provider application and/or records | 5101:3-1-17.2 | 5101:3-12-06 (A)(9)(ii) | 5101:3-12-06 (B)(6)(a) |
| Falsified kinship | (Consumer) 5101:3-12-12 (A)(2) | 5101:3-12-06 (A)(9) | 5101:3-12-06 (B)(6) |
| Billing for multiple consumers in the same time period | 5101:3-1-29 (D) | ||
| Billing for services not provided | 5101:3-1-29 (D) | ||
| Billed hours greater than 24 hours per day | 5101:3-1-29 (D) | ||
| Kickback to the consumer | 5101:3-1-29 (D) | ||
| Billed Medicaid for the patient liability | 5101:3-12-06 (A)(9) | 5101:3-12-06 (B)(6) |