Question:
I am a medical interpreter and was recently assigned by a language company to an appointment paid for by the Washington State Health Care Authority that runs the Apple Health/Medicaid program. As far as I know, a patient must be living in Washington State in order to be eligible for these benefits, although the requirements are very complicated to understand.
During the appointment, the LEP patient and I were chatting while the healthcare provider, who was in the room, was administering a test that lasted 30 minutes.The LEP patient told me that she had come to the US only for the last three months of her pregnancy. Once the baby is born, she will go back to her home in another country. This is the second time she has come to the US for a short period in order to give birth. She told me she is doing this “just to get the passport.” By the LEP patient’s own statement, she does not live in Washington State.
As part of my contract with the language company, I am required to undergo Federal Fraud, Waste and Abuse (FWA) training to learn what constitutes FWA and when and how to report it. I also signed an attestation stating, “I am fully capable of recognizing and identifying potential Fraud, Waste and Abuse.” Given what was disclosed to me by this LEP patient, I suspect that this is a case of fraud. However, I’m not sure the Federal FWA agreement I signed applies to the Washington State program.
Regardless, I feel uncomfortable at the thought that this LEP person may be taking advantage of government benefits that she obtained fraudulently. I feel that it is my ethical duty to report my suspicions. Do you agree? (By the way, is your Ethics Panel only meant for court interpreters?)