Suspected Fraud 510-03-10-25
(Revised 11/1/2020 ML #3600)
The SFN 20 “SURS Referral Form” must be completed in all instances where there is a suspicion of fraud.
To assist with determining what constitutes a suspicion of fraud the following items should be considered:
- Was information listed on the application(s) on file false? —meaning they were employed or had other assets or household members, etc., that were not disclosed at the time of application
- Were false statements made by the household member – meaning denying (specifically indicated no) assets or employment on a certain date when there really were assets or employment
- Recipient admitted they knew they should have reported
- Other proof or evidence there was false information given in order to receive benefits
If you have any questions regarding determining a suspicion of fraud you may contact the Fraud, Waste, and Abuse Administrator at 701-328-4024 or via email medicaidfraud@nd.gov.

