Post Approval Checking Mechanism
Post Approval Checking Mechanism
In the application of Community
Care Fund Medical Assistance Programmes, applicants are required to
provide complete, accurate, true and
up-to-date information to Medical Social Workers for assessment and
verification. In order to maintain the integrity of the medical fee
assistance systems and protect the systems from being abused, the
Hospital Authority established Investigation Section (Fee Assistance
Application) in March 2007 (renamed as Medical Fee Assistance Section
in 2008) for the purposes of:
- preventing and detecting the occurrence of fraud and abuse
of medical fee assistances
- taking appropriate action against suspect who commits
deception relating offence
To accomplish the purposes, a Post Approval Checking Mechanism has been
put in place at hospital clusters and the Hospital Authority Head
Office to conduct:
- in-depth investigation on suspected fraud cases of medical
fee assistances
- regular checks of approved cases selected on a random basis
- checking of cases with high risk factors for fraud and
abuse
- data matching within Hospital Authority, with Government
Departments, banks, employers and other parties
Medical fee assistance demands your honesty
Medical Fee Waiving, Samaritan Fund and the Community Care Fund Medical
Assistance Programmes are provided only for needy patients. The
Checking Units of the Hospital Authority conduct checks on the approved
applications regularly. The patient/applicant and household member(s)
must provide complete, accurate, true and up-to-date information and
have to report to the HA/Social Welfare Department any changes in the
particulars in the
application within the validity period of the financial assistance.
Do not break the law
Acquiring subsidy under Community
Care Fund Medical Assistance Programmes by
deception is a Criminal Offence. In
addition to the consequence of being ineligible for
the Community
Care Fund Assistance, the patient / the applicant / the patient's
household member(s)
shall be liable on conviction upon indictment to imprisonment of
10
years under the
Theft
Ordinance
(Chapter 210 of the Laws of Hong Kong).