Presentation to: Presented by: Date: 2015 Georgia WIC Conference Georgia DPH WIC Conference Ondray...

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Presentation to: Presented by: Date: 2015 Georgia WIC Conference Georgia DPH WIC Conference Ondray Jennings, Deputy Inspector General August 24-25 , 2015

Transcript of Presentation to: Presented by: Date: 2015 Georgia WIC Conference Georgia DPH WIC Conference Ondray...

Page 1: Presentation to: Presented by: Date: 2015 Georgia WIC Conference Georgia DPH WIC Conference Ondray Jennings, Deputy Inspector General August 24-25, 2015.

Presentation to:

Presented by:

Date:

2015 Georgia WIC Conference

Georgia DPH WIC Conference

Ondray Jennings, Deputy Inspector GeneralAugust 24-25 , 2015

Page 2: Presentation to: Presented by: Date: 2015 Georgia WIC Conference Georgia DPH WIC Conference Ondray Jennings, Deputy Inspector General August 24-25, 2015.

Types of Participant Fraud/Abuse

• Enrollment at More than One WIC Clinic• Reporting False Income/Household Size• False Pregnancy• Buying or Selling (vouchers, food, baby

formula, breast pumps, etc.)• Altering WIC Checks• Forged Medical Documentation Forms

Page 3: Presentation to: Presented by: Date: 2015 Georgia WIC Conference Georgia DPH WIC Conference Ondray Jennings, Deputy Inspector General August 24-25, 2015.

Participant Case StatsCases Opened – 267• Clinic Voucher Integrity Checks -10• Data Analysis - 75 • DPH/OIG Investigation – 61• Health Districts – 7• Hotline – 28• Internal State Agency – 1• Internet/Social Media – 51• USDA-FNS – 2• USDA – OIG - 32

Page 4: Presentation to: Presented by: Date: 2015 Georgia WIC Conference Georgia DPH WIC Conference Ondray Jennings, Deputy Inspector General August 24-25, 2015.

Criminal Actions

• Criminal Referrals - 12• Arrests - 4• Indictments - 1• Convictions - 37

Page 5: Presentation to: Presented by: Date: 2015 Georgia WIC Conference Georgia DPH WIC Conference Ondray Jennings, Deputy Inspector General August 24-25, 2015.

Substantiated Investigations• Upon completion of investigations, OIG will

provide the NSD with investigative documents to support the fraud/Abuse allegations.

• These documents will include all evidence that supports the findings, as well as the Memorandum that contains the total claim amount.

Page 6: Presentation to: Presented by: Date: 2015 Georgia WIC Conference Georgia DPH WIC Conference Ondray Jennings, Deputy Inspector General August 24-25, 2015.

Results

Forged Medical Documentation Forms for Specialty Formulas

Criminal Referrals• Atlanta Police Department Major Fraud

Unit – 3• Cobb County Sheriff’s Office – 2• Clayton County District Attorney’s Office –

3• USDA OIG - 4

Page 7: Presentation to: Presented by: Date: 2015 Georgia WIC Conference Georgia DPH WIC Conference Ondray Jennings, Deputy Inspector General August 24-25, 2015.

Small World/Super Kids Variety“SAVANNAH, GEORGIA - Brandon and Kimberly Sapp, husband and wife from Atlanta, Georgia, pled guilty last week before United States District Judge William T. Moore, Jr. to running a criminal organization that defrauded the WIC and Food Stamp programs of approximately $20 million.“

“One of the largest WIC and Food Stamp frauds prosecuted in the United States”

88 individuals indicted and convicted. 34 out of the 88 were participants.

Page 8: Presentation to: Presented by: Date: 2015 Georgia WIC Conference Georgia DPH WIC Conference Ondray Jennings, Deputy Inspector General August 24-25, 2015.

Ondray JenningsDeputy Inspector GeneralOffice of Inspector General

Department of Public Health2 Peachtree Street, 9-451

Atlanta, GA 30303404/656-4422

[email protected]

Page 9: Presentation to: Presented by: Date: 2015 Georgia WIC Conference Georgia DPH WIC Conference Ondray Jennings, Deputy Inspector General August 24-25, 2015.

QUESTIONS