MICHIGAN DEPARTMENT OF HUMAN SERVICES Office of Inspector General Budget Presentation – February...
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MICHIGAN DEPARTMENT OF HUMAN SERVICES
Office of Inspector General
Budget Presentation – February 20, 2013
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Office of Inspector General (OIG)
Criminal Justice Agency within Department of Human Services (DHS), created in 1972
Governed by State law 130 Staff On-Board, 118 Field Positions. Agents strategically located throughout
Michigan to provide investigative coverage for every county of Michigan
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OIG Mission3
The mission of the Office of Inspector General (OIG) is to assist the Michigan Department of Human Services in maintaining integrity and accountability in the administration of its programs. The OIG provides investigation and advisory services to ensure appropriate and efficient use of available public resources.
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OIG RESPONSIBILITIES4
Investigate: Recipient fraud Vendor - Contractor fraud Provider fraud Employee fraud (Internal
Affairs)
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Specialized Units
Investigative Analytics Unit (IAU): Data mining/analytical support of the office
Special Investigations Unit (SIU): Specializing in major investigations and
internal affairs investigations
Trafficking Unit: Specializing in FAP trafficking investigations
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Recipient Integrity Activities
Front End Eligibility (FEE) Investigations: Fraud Prevention - Referrals based on questionable
information in public assistance applications prior to case opening and payment of benefits
Internal referrals based on OIG data analytics Recipient Fraud Investigations:
Unreported income Unreported assets Misrepresentation of household circumstances Trafficking Hotline - Internet complaints
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High Risk Areas
Bridge Card Trafficking Internet “IP Address” Tracking
Assists in identifying the physical location of persons applying for benefits online (MiBr
PARIS: Interstate Match Indicator of individuals receiving duplicate
assistance
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High Risk Areas II
Social Media Monitoring Identifies individuals selling FAP benefits
Out-of-State EBT Transaction Monitoring Indicator of household living out of MI while
on public assistance in MI Bridge Card Transaction Trend Analysis
Identifies evolving FAP Trafficking trends Multiple Bridge Card Replacement
Indicator of FAP trafficking (selling EBT card)
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Bridge Card Trafficking
The buying and selling of Bridge Card benefits for cash and/or other prohibited items
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Bridge Card Trafficking10
2” Bullet Proof Glass; Lack of Counter
Transactions of $80-$200 were common at this location within minutes of each other
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Meat expired in April of 2001
Store was raided 10 years later!
Raid Photo
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Raid Photo
Eggs expired in September of 2009
(Raid occurred approximately 18 months later)
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Nearly Empty Cooler
Raid Photo
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FAP Trafficking Efforts
OIG has made FAP trafficking investigations a priority.Prioritization of investigative resources (Trafficking Agents)Identification of retailers and recipientsPartnered investigations with federal, state and local law enforcement agenciesPublic and media outreach
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OIG Trafficking Unit Statistics
$5.8 Million in Trafficked Benefits Identified
$4.1 Million in Fraud Receivables Established
1,652 Trafficking Cases Completed 184 IPV Hearings Conducted
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i-Sight Case Management System (in development)
Integration of three disparate databases Front End Eligibility (FEE) Recipient Fraud Provider/Employee Fraud
Automated Functionality Upgrades Development of an automated fraud tool from
data warehouse – Improve Analytics, Increase Efficiency, Improve Investigative Outcomes.
Improved communication to Field Agents and Prosecutors
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Recipient FAP Fraud FY 2012
9,907 FAP Recipient Fraud Investigations 7,702 Fraud (IPV) Dispositions
$14.2 Million in FAP Recipient Fraud 975 Criminal Warrants 1,124 IPV Hearings – IPV Established
4,400+ FAP IPV Disqualifications IPV DQ = $13M in Cost Avoidance
$11.3 Million in FAP Fraud Receivables
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OVERALL STATISTICS FY2012
30,296 FEE and Fraud Complaints 11,497 Recipient Fraud complaints
16,900 FEE investigations completed 6,065 recipient fraud investigative
dispositions. Recipient Fraud found: $22.6 Million Revenue generated: $19.7 Million in
fraud receivables
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FY2012 Cost Savings
Front End Eligibility $69,584,900 Recipient Fraud /IPV $22,690,534 IPV Disqualifications $14,419,620 Special Investigations $5,723,544_______________________________
TOTAL SAVINGS $112,418,599
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Front End Eligibility (FEE)
Return on Investment
FEE deters fraud; prevents improper payments and reduces errors. Provides eligibility workers with a resource for accurate case openings.Every dollar spent on FEE investigation efforts resulted in program cost savings of $26.00
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Fraud Dollars Establishedby Program
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Receivables Established22
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QUESTIONS
Alan Kimichik, Inspector General(517) 335-3899
www.michigan.gov/dhs
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