HomeMy WebLinkAboutMINUTES - 11182008 - C.92 (3) ---------
TO: BOARD OF SUPERVISORS Contra
FROM: PUBLIC PROTECTION COMMITTEE °i -°s Costa
DATE: OCTOBER 6, 2008 - ----- County
SUBJECT: INFORMATIONAL REPORT ON WELFARE FRAUD INVESTIGATION AND PROSECUTIOr
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATIONS:
1. ACCEPT report prepared jointly by the Employment and Human Services Director and the District
Attorney regarding investigation and prosecution of public assistance fraud cases.
2. REQUEST the departments to provide an update report to the Public Protection Committee in August
2009 or at such time that fiscal year 2008/09 statistics are available.
BACKGROUND:
In May 2007, the Employment and Human Services (EHS)Director made a report to the IOC describing
what policies,procedures, and practices are employed by the Department to ensure that public benefits are
provided only to those who continue to meet income eligibility requirements. The IOC had been
monitoring the departments' efforts by review statistical reports provided by the departments.
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY MINISTRATOR LI<ECOMMEN T N OF BOARD TTEE
PPROVE OTHE
SIGNATURE(S): HN IOTA,CHAIR EDERAL D.GLOVER,MEMBER
ACTION OF BOARD ON APPROVE AS RECOMMENDED OTHER
VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE
/ AND CORRECT COPY OF AN ACTION TAKEN
V UNANIMOUS(ABSENT ) AND ENTERED ON THE MINUTES OF THE
BOARD OF SUPERVISORS ON THE DATE
AYES: NOES: SHOWN.
ABSENT: ABSTAIN:
ATTESTED: NOVEMBER 18,2008
CONTACT: JULIE ENEA(925)335-1077 DAVID J.TWA,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
CC: PUBLIC PROTECTION COMMITTEE STAFF
DISTRICT ATTORNEY
EMPLOYMENT AND HUMAN SERVICES DIRECTOR
COUNTY ADMINISTRATOR(ENEA AND SANSOE)
BY "� ,DEPUTY
r
Welfare Fraud Referral,Investigation, and Prosecution October 6,2008
Board of Supervisors Page 2
In January 2008,the Board of Supervisors reassigned this matter to the Public Protection Committee(PPC).
The PPC received the attached 2007/08 statistical update from the EHS and District Attorney departments.
The report shows that fraud is found by EHS in about 70% of the cash and food stamp benefit cases that are
investigated early. The District Attorney has filed cases in approximately two-thirds of the cases it
investigated; approximately half of the cases prosecuted resulted in conviction.
The report showed a number of pending cases where the outcome has not yet been determined. Our
committee requests that another update be provided when updated statistics become available,but not later
than August 2009.
EMPLOYMENT AND HUMAN SERVICES
CONTRA COSTA COUNTY
DATE: October 15, 2007
TO: Internal Operations Committee of the Board of Supervisors
FROM: Joe Valentine, Director, EmployAaeiAand jHuman Services
Robert Koclily,District Attorney
SUBJECT: Report on Welfare Fraud Investigations & Pr
BACKGROUND
In May 2007, the Internal Operations Committee (IOC) of the Board of Supervisors requested
statistical evidence.from the Employment and Human Services Department (EHSD) Director
and the District Attbl•ney-JDA) -.demonstrating follow-through of investigations and `
` prosecgtions of public assistance fraud cases. This report is in response to that request and will
provide a brief statement on the fraud detection, referral and investigative processes as well as
statz €acal summarifor'fiiseal years 2005/2006, 2006/2007 and first quarter 2007/2008.
EHSD WELFARE FRAUD INVESTIGATION PROCEDURES
Citizens can report suspected public assistance fraud by calling any one of the following
numbers:
•. California Department of Social Services Fraud Hotline: 1-800-344-8477
• Contra Costa County District Attorney's Office: (925) 646-2335
• EHSD fraud reporting line: (925) 313-1546
The above phone numbers are published on websites; in various publications and posted in
EHSD Offices. All complaints are forwarded to the EHSD Fraud Prevention Manager for
review and appropriate action.. The EHSD Fraud Manger forwards complaints to the
Eligibility Workers (EW) for their review and potential Early Fraud Investigation referrals.
All requests for.investigations are initiated by EWs via the EHSD Early Fraud Intranet referral
system. Referrals are reviewed by the Fraud Manager and assigned to EHSD Fraud
Investigators for investigation.
Completed investigations are reviewed by the Fraud Mater and returned to the EWs for
appropriate actions. Actions taken by the EWs on cases where fraud is found include:
• Case Denials
• Case Discontinuances
• Benefits Reduced
• Referral for.Overpayment Computation and Collection
Completed investigations by EHSD Early Fraud that identify potential long term fraud are
referred to the DA's Office for further investigation.
D.A.'s PUBLIC ASSISTANCE FRAUD INVESTIGATION/PROSECUTION
PROCEDURES
The investigative staff in the District Attorney's Office for public assistance fraud
investigations currently consists of
• One full time investigator
• One halftime investigator for In Home Supportive Services (IHSS)
• One half time supervisor
The majority,of referrals to the DA Public Assistance Fraud Investigative Unit are from EHSD.
The investigative unit supervisor and the EHSD fraud manager meet on a regular basis to
discuss and prioritize the case referrals. The cases selected for investigation are prioritized
based on a number of factors to include the amount of the suspected loss or fraud, number of
suspects involved; the scheme involved,whether the suspect has been previously reported as
being involved in fraud, etc. .The cases are then either assigned to the half time investigator for
IHSS cases 6r the full time investigator for all other types of cases.
Once the D.A.investigator has completed the investigation the report will be submitted to the
investigative supervisor for review. If the investigation reveals that fraud was committed and
there is sufficient evidence to support the allegation of fraud the case will be referred to the
deputy district attorney(DDA) assigned to public assistance fraud for review. The DDA has `
several options which include:
• Filing criminal charges
• Declining to file charges
•' Returning the case to the investigator for additional investigation in order to make a
subsequent filing decision
The DDA also receives cases fo review for criminal prosecution directly from the EHSD
investigative units.
The criminal charges that are filed in public assistance fraud.cases have included:
• 10980 Welfare&Institutions Code—Unlawfully Obtaining Public Aid; Unlawful
Possession or Use of Food Stamps
• 487 Penal Code—Grand Theft(for IHSS cases)
• 118 Penal Code—Perjury
Depending upon the nature of the case, suspects who have been criminally charged may either
be sent a notice to appear in court or have a warrant issued for their arrest.
Defendants who have been convicted on recent cases have received sentences involving:
• jail time ranging from several days to 6 months (not all defendants received a jail
sentence)
0 probation—generally 3 years
• volunteer work—40 to 240 hours
• restitution and fines
• work programs
STATISTICAL REPORTS
Statistical Reports for fiscal years 2005/2006, 2006/2007, and first quarter 2007/2008 are
attached for the following groups:
• Early Fraud Investigations
• Overpayments Investigations Unit
• District Attorney Public Assistance Fraud Investigations
The statistics used in these reports were extracted from the California State Department of
Public Assistance (DPA) Forme 266, Fraud Investigation Activity Reports which are submitted
to the California State Fraud Bureau on a monthly basis.
S
STATISTICAL OUTCOMES
First Quarter 2007/2008
JULY 1, 2007 - SEPTEMBER 30, 2007
EARLY FRAUD INVESTIGATIONS (EFI)
REFERRALS CASH FOOD STAMPS
Investigation Referrals.
Received 168 174
Investi ations Completed 176 179
Fraud Found 133 137
Fraud Not Found 43 42
INVESTIGATION RESULTS
Denials 9 27
Discontinuances 25 29
Benefits Reduced 2 6
Allegation Unfounded 13 25
OVERPAYMENTS INVESTIGATIONS UNIT
CASH FOOD STAMPS
Overpayment Computation
Referrals Received 40 76
Number of Overpayments
Established 22 53
Dollar Amount of
Overpayments $47,324 $62,544
Cases Referred for
Prosecution 3 1 4
DISTRICT ATTORNEY PUBLIC ASISTANCE FRAUD INVESTIGATIONS
IN-HOME SUPPORTIVE
INVESTIGATIONS CASH FOOD STAMPS SERVICES
Referrals Accepted 4 4 42
for Investigation
Investigations 4 4 11
Completed
PROSECUTIONS
Cases Filed for
Prosecution 3 _ 3 7
Convictions 0 0 1
STATISTICAL OUTCOMES
FOR FISCAL YEAR
JULY 1, 2006 -JUNE 30, 2007
EARLY FRAUD INVESTIGATIONS (EFI)
REFERRALS CASH FOOD STAMPS
Investigation Referrals
Received 800 814
Investi ations Completed 786 803
Fraud Found 552 562
Fraud Not Found 234 . 241
INVESTIGATION RESULTS
Denials 78 110
Discontinuances 63 61
Benefits Reduced 4 14
OVERPAYMENTS INVESTIGATIONS UNIT
CASH FOOD STAMPS
Overpayment Computation
Referrals Received 198 449
Number of Overpayments ...
Established 119 305
Dollar Amount of
Overpayments $230,957 $259,$66
Cases Referred for
Prosecution 6 6
DISTRICT ATTORNEY PUBLIC ASSISTANCE FRAUD INVESTIGATIONS
IN-HOME SUPPORTIVE
INVESTIGATIONS CASH FOOD STAMPS SERVICES
Referrals Accepted 22 25 62
for Investigation
Investigations 15 15 41
Completed
PROSECUTIONS
Cases Filed for
Prosecution 3 3 4
Convictions 6 6 7
STATISTICAL OUTCOMES
FOR FISCAL YEAR
JULY-I, 2005-JUNE 30, 2006
EARLY FRAUD INVESTIGATIONS (EFI)
REFERRALS CASH FOOD STAMPS
Investigation Referrals
Received' 680 767
Investigations Completed 665 761
Fraud Found 463 534
Fraud Not Found 1205 227
INVESTIGATION RESULTS
Denials 1064 - 87
87
Discontinuances 33 92
Benefits Reduced 2 4
OVERPAYMENTS INVESTIGATIONS UNIT
CASH FOOD STAMPS,.
Overpayment Computation
Referrals Received 391 662
Number of Overpayments
Established 187 305
Dollar Amount of
Overpayments $324,211 $285,584
Cases Referred for
Prosecution .13 12
DISTRICT ATTORNEY PUBLIC ASSISTANCE FRAUD INVESTIGATIONS
IN-HOME SUPPORTIVE
INVESTIGATIONS CASH FOOD STAMPS SERVICES
Referrals Accepted 21 22 54
for Investigation
Investigations 17 17 14
Completed
PROSECUTIONS
Cases Filed for
Prosecution 11 11 5
Convictions 16 14 0
EMPLOYMENT AND HUMAN SERVICES
CONTRA COSTA COUNTY
DATE: May 7, 2007
TO: Supervisor Susan Bonilla, Chair
Supervisor Gayle Uilkema
FROM: Joe Valentine, Director
SUBJECT: Status Report on Continuing Eligibility
BACKGROUND
Supervisor Gayle Uilkema requested the Employment and Human Services Department(EHSD) compile
a report showing what policies, procedures and practices are in effect to ensure that clients continue to be
eligible for benefits after benefits are initially granted. The report below covers the various benefit
programs administered by EHSD and the policies, procedures, and reports that are used to review
continued eligibility for benefits.
EHSD POLICIES AND PROCEDURES ON INITIAL INTAKE
Persons applying for benefits are required to participate in a thorough eligibility determination process for
each benefit for which they are applying. The intake process is somewhat different for each program and
is described below.
Cal Works. Food Stamps and General Assistance:
Prior to the formal application process and their face to face interview, applicants are provided with a
packet that includes application forms and various informational notices. Once completed, all application
and related forms included in the packet are then reviewed with the prospective client in a face to face
interview and signed under penalty of perjury. As part of the application process, applicants must provide
documentation of the following:
• Identity through a form of picture identification (Driver's License/State ID Card/Passport)
• Citizenship verification (Birth Certificate, Passport, Naturalization, etc.)
• Social Security Number(Actual card or Application for card)
• Earned and Unearned Income (Pay Stub, Award Notices, etc.)
• Residence
Adult members of the assisted family(referred to as an Assistance Unit(AU)) are required to submit to
fingerprinting through the Statewide Fingerprint Imaging System (SFIS). This is an automated system
designed to detect duplicate aid and deter welfare fraud by matching fingerprint images of applicants and
recipients against those already in the SFIS database. A photo image is also stored in the database.
Once all of the requested information and verifications have been received, the information is validated
through the Medi-Cal Eligibility Data System (MEDS) by verifying the Social Security number(SSN) and
income through the Income Eligibility Verification System (IEVS).
The EHSD also uses the Early Fraud intranet referral system during the application process to investigate
and clarify questions and issues that might arise in the process of determining eligibility. Additionally,
applicants must attend and participate in an orientation process where they are made aware of their rights
and reporting responsibilities.
Medi-Cal:
In the Medi-Cal Intake process applicants mail-in their completed application packets, which include a
notice informing the applicants of their rights & responsibilities. The current California Department of
Health Services regulations do not require the notice to be reviewed with the applicant or signed and
returned by the applicant. However, the application forms must be signed under penalty of perjury.
1
6E_L
TO: BOARD OF SUPERVISORS ` Eo n t1r
a
,,
FROM: INTERNAL OPERATIONS COMMITTEE �` sL. - -; Costa
DATE: OCTOBER 15,2007 °` County Sr-------------
SUBJECT: INFORMATIONAL REPORT ON WELFARE FRAUD INVESTIGATION AND PROSECUTION
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATIONS:
1. ACCEPT report prepared jointly by the Employment and Human Services Director and the District
Attorney regarding investigation and prosecution of public assistance fraud cases.
2. ACKNOWLEDGE that the County has an established process for recouping public assistance
overpayments, typically through a reduction in future benefit payments.
3. REQUEST the departments to provide an update report to the Internal Operations Committee in August
2008 or at such time that fiscal year 2007/08 statistics are available.
BACKGROUND:
In September 2006, the Employment and Human Services (EHS) Department updated the Internal
Operations Committee (IOC) on its efforts to improve internal security and loss prevention activities. The
IOC had requested the department to report back in nine months on any tools and procedures that have been
developed and implemented to detect changes in income eligibility for welfare benefits.
CONTINUED ON ATTACHMENT: YES SIGNATURE:
W RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMEN6AT ON OF BOARD COMMITTEE
APPROVE OTHER
UA
SIGNATURE(S): SUSAN A.BONILLA,CHAIR GAYLE4 UILKEMA
ACTION OF BOARD ON ZY,12 264d-.7APPROVE AS RECOMMENDE15O
VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE
AND CORRECT COPY OF AN ACTION TAKEN
UNANIMOUS(ABSENT� AND ENTERED ON THE MINUTES OF THE
BOARD OF SUPERVISORS ON THE DATE
AYES: NOES: SHOWN.
ABSENT: ABSTAIN:
ATTESTED: NOVEMBER 6,2007
CONTACT: JULIE ENEA(925)335-1077 JOHN CULLEN,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
CC: INTERNAL OPERATIONS COMMITTEE STAFF
DISTRICT ATTORNEY
EMPLOYMENT AND HUMAN SERVICES DIRECTOR
COUNTY ADMINISTRATOR(ENEA AND SANSOE)
BYLAO�Z��PUTY
Welfare Fraud Referral, Investigation, and Prosecution October 15; 2007
Board of Supervisors Page 2
Last May, EHS Director Joe Valentine made a report to the IOC describing what policies, procedures, and
practices are employed by the Department to ensure that public benefits are provided only to those who
'continue to meet income eligibility requirements. The IOC accepted that report but asked the Director to
compile data with the District Attorney to demonstrate the County's follow-through of reports of welfare
fraud.
Our Committee, on October 15,received the attached report prepared jointly by the EHS Director and the
District Attorney describing the processes for welfare fraud referrals, follow-up, investigation, and
prosecution, and illustrating the results of the program through statistical reports for 2005/06, 2006/07, and
the first quarter of 2007/08. Our committee is recommending a follow-up report once full-year data
becomes available for 2007/08.
Program Integrity
• The EHSD Program Integrity Unit is responsible for case review and program integrity operations.
The staff assigned to the unit conduct targeted case reviews in identified caseloads and program
areas; compile case review findings, and assist in any necessary corrective actions.
Yearly Redetermination
• An annual Food Stamp redetermination/recertification is required.
General Assistance
Monthly Reporting—GA-7
• Recipients are required to report:
o Income from any income source including a job or training program.
o Changes in household composition—Any moves in or out of the home.
o Anticipated Changes—Starting a job, training, or school; property; disability; citizenship
or immigration status; pregnancy; or marital status.
Employable Persons
• Receive a maximum of 3 months of benefits in a 12 month period.
Unemployable GA Recipients
• Mandatory requirement to apply for Social Security Disability and/or Supplemental Security
Income. If a recipient is,granted SSI benefits all GA benefits are reimbursed to the County
beginning from the date of the initial grant.
Yearly Redetermination
• Redetermination of eligibility is conducted at least every twelve months with a review of all
eligibility factors to ensure continuing eligibility.
Medi-Cal
• All Medi-Cal beneficiaries must complete an Annual Redetermination. Aspects of eligibility that
are subject to change, such as financial accounts, require re-verification. Adults who are linked
through the family program and who are not disabled or pregnant, are required to complete a
Midyear Status Report to report any changes in circumstances, income, etc. The redetermination
process does not require a face-to-face interview.
• Medi-Cal Quality Control Reviews
The California Department of Health Services (CDHS) conducts a monthly review of randomly
selected cases. The review is normally limited to a review of the case record and third party
collateral contacts but it may include contact with the beneficiary. CDHS also conducts a series
of annual Focused Reviews where one aspect of eligibility(e.g. all applications) is reviewed for
every case in a given month.
Child Care
• Recipients of CaIWORKs are eligible for child care supportive service funds if they need them to
remove barriers to employment. In order to obtain initial child care services as well as continued
child care services, participants must provide information about the number of hours they are
involved in a welfare-to-work activity during which their children under 12 will need child care.
They must present class schedules or other proof of activity involvement as well as a monthly
attendance sheet(signed under penalty of perjury) that the children have been with the child
care provider during the approved hours. Child care is computed and paid on a monthly basis.
In-Home Supportive Services (IHSS)
• Social Workers do reassessments every 12 months. Recipients are required to notify the
department of any changes in their circumstances.
• Quality Assurance (QA)
The purpose of the IHSS Quality Assurance Unit is to detect and prevent fraud, to ensure
compliance with program regulations, and to maintain program integrity while enhancing quality
improvement measures. Cases are randomly selected and interviews are conducted on-site at
each district office, in the client's home, or by telephone by the Quality Assurance Social Worker.
An applicant must provide written proof of identity, California residence, earned and unearned income,
and if applicable, information concerning real & personal property, and alien status. Effective in 2007,
U.S. citizenship must be verified. Social Security numbers are verified through the Income Eligibility &
Verification System (IEVS). Alien status is verified through Systematic Alien Verification for Entitlement
(SAVE).
In any case where the information submitted is questionable; applicants are asked to provide a second
source of verification.
Foster Care:
Applications for Foster Care benefits are generated by Social Workers who determine when a child is to
be placed in Foster Care. The Foster Care Intake Eligibility worker determines the amount of benefits
and what funding stream the money is drawn from: Federal, State, Emergency Assistance or County.
Eligibility is based on Aid to Families with Dependant Children (AFDC) regulations.
EHSD POLICIES AND PROCEDURES ENSURING CONTINUING ELIGIBILITY
CaIWORKs
Quarterly Reporting—QR-7
• Recipients are required to report:
o Income from any income source including a job or training program.
o Changes in household composition—Any moves in or out of the home.
o Changes in real and personal property.
o Household members having felony drug convictions or fleeing felons.
o Changes in household situations; i.e. marital status, pregnancy, citizenship,
medical/dental insurance,job started/stopped, on strike, or children who started/stopped
attending school.
o Changes in income or expenses.
o Changes of address.
o All clients sign and date the quarterly income report(QR-7) under penalty of perjury and
are advised they can be prosecuted if they give incorrect information.
Yearly Redetermination
• Every year after the initial grant of benefits, recipients return for a face to face interview with
eligibility staff to redetermine their continuing eligibility for the continuation of benefits. Recipients
must complete application documents and provide verification of their income, property, etc.
Food Stamps
Quarterly Reporting—QR-7
• Recipients are required 10 report:
o Income from any source including a job or job training program.
o Changes in household composition —Any moves in or out of the home.
o Changes in real and personal property.
o Household members who have felony drug convictions or are fleeing felons.
o. Changes in household situations; i.e. marital status, pregnancy, citizenship,
medical/dental insurance,job started/stopped, on strike, or children who started/stopped
attending school.
o Changes in income or expenses.
o Changes of address.
o All clients sign and date the quarterly.income report under penalty of perjury and they are
advised they can be prosecuted if they give the wrong information.
Quality Control Reviews
• The California State Department of Social Services conducts a monthly review of randomly
selected cases. The review process includes a complete review of the Food Stamp case record, .
an in-home visit with the recipient to review eligibility for the month selected and third party
collateral contacts to re-verify case documentation, supporting documents, and benefits issued.
Foster Care
• Reporting responsibilities for changes to the child's placement and.needs are the responsibility of
the Social Worker.
• Monthly visits to foster child are required.
• Redetermination of eligibility is-required every twelve months.
Income and Eligibility Verification System (IEVS)
• The IEVS is a computerized system which matches the recipient's name and Social Security
Number(SSN)with State welfare files, wage, unemployment and disability benefit files, interest
and dividend income information from State tax files and Social Security benefit information from
the Social Security Administration (SSA) for CaIWORKs, Food Stamps and Medi-Cal program
recipients.
• The following nine(9) reports are generated by the Income and Eligibility Verification System:
1. Integrated Earnings Clearance/Fraud Detection System—IFD 440
A quarterly match that provides wage information from California employers as well as
duplicate aid that may exist between CalWORKs, Food Stamps and Supplemental
Security Income/State Supplementary Program (SSI/SSP) recipients.
2. New Hire Registry—NHR 410
A monthly report that provides new hire data for the CalWORKs, Food
Stamps and Medi-Cal programs.
3. Payment Verification System—PVS 040
A monthly match providing information on Retirement, Survivors and Disability Insurance
(RSDI), State Unemployment Insurance (UI), and State Disability Insurance (SDI)
benefits.
4. Internal Revenue Service Asset Match—IEV 690
An annual match that provides information on unearned income reported to the IRS such
as out-of-state accounts, lottery winnings, stocks and bonds, and any other income
information.
5. Franchise Tax Board Asset Match—IEV 525
An annual match that provides interest and dividend information from financial/investment
institutions based in California or have office in California.
6. Beneficiary Earnings Exchange Record—BEER
A monthly report that provides wage information that includes out-of-state wages, self-
employment, military wages, federal wages, and California wages not previously reported
to EDD.
7. Fleeing Felon Match System—FFM 200R
A monthly report of persons receiving cash aid and/or food stamps who are known to be
fleeing felons. Persons fleeing felony prosecution, custody or confinement, and/or
violating a condition of probation or parole are ineligible to receive benefits.
8. Nationwide Prisoner Match System—NPM 1030P
A monthly report to determine if any prisoners are currently receiving assistance.
9. Deceased Persons Match—DPM 1020P
A monthly report listing deceased persons receiving cash aid and Food Stamp benefits.
• EHSD has an IEVS Overpayment Unit that reviews the IFD-440, BEER, and IRS Asset Match
reports. The unit is responsible for the identification and computation of those cases with
identified client errors. Eligibility staff is responsible for the review of the New Hire and Payment
Verification System reports.
Fraud Prevention and Detection
• EHSD Early Fraud Investigations Unit
This unit within EHSD investigates applicants and recipients suspected of applying for, or
receiving, benefits to which they are not entitled.
• District Attorney(DA)Welfare Fraud Investigations Unit
This unit within the DA's Office investigates and prosecutes welfare and In-Home Supportive
Services cases suspected of significant fraudulent activity.
• Administrative Disqualification Hearings (ADH)
An ADH is requested when it has been determined there is enough evidence to support that an
individual has allegedly^'committed an intentional program violation (IPV) in the CalWORKs and/or
Food Stamp programs.
The policies, procedures, processes, and organizational units described above provide a coordinated and
comprehensive approach to ensuring that clients receiving public assistance benefits continue to be
eligible to receive those benefits; This review of continuing eligibility begins at the point of the initial
application and continues for the duration of the period that benefits are being paid. Our relationship with
the Contra Costa District Attorney's Office also ensures that those who intentionally attempt to falsely
obtain benefits can be detected,,investigated and prosecuted. The Employment and Human Services
Department also continues to strengthen its policies and processes to ensure that benefits.go only to
those who are entitled to those benefits.
EMPLOYMENT & HUMAN SERVICES DEPARTMENT
AND
DISTRICT ATTORNEY
STATISTICAL OUTCOMES
FISCAL YEAR
JULY 1, 2007 -JUNE 30, 2008
EHSD EARLY FRAUD INVESTIGATIONS EFI
REFERRALS CASH FOOD STAMPS
Investigation Referrals
Received 724 746
Investigations Completed 732 749
Fraud Found 507 534
Fraud Not Found 225 215
INVESTIGATION RESULTS
Denials of Benefits 67 105
Discontinuances of Benefits 95 120
Benefits Reduced 6 134
Allegation Unfounded 88 134
EHSD OVERPAYMENTS INVESTIGATIONS UNIT
CASH FOOD STAMPS
Overpayment Computation
Referrals Received 145 304
Number of Overpayments
Established 85 203
Dollar Amount of
Overpayments $254,968 $252,055
Cases Referred for
Prosecution 13 17
DISTRICT ATTORNEY WELFARE FRAUD INVESTIGATIONS
IN-HOME SUPPORTIVE
INVESTIGATIONS CASH FOOD STAMPS SERVICES
Referrals Received 32 40 94
Referrals Completed 16 17 117
PROSECUTIONS
Cases Filed for
Prosecution 10 11 23
Convictions 5 6 9
DISTRICT ATTORNEY WELFARE FRAUD INVESTIGATIONS
STATISTICAL OUTCOMES REPORT
FOR FISCAL YEARS 05/06 and 06/07
Quarter 07/05—09/05
IN-HOME
INVESTIGATIONS CASH FOOD STAMPS SUPPORTIVE
SERVICES
Referrals Received 3 2 7
Referrals Completed 3 2 3
PROSECUTIONS
Cases Filed for
Prosecution 3 2 1
Convictions 13 11 0
Quarter 10/05 — 12/05
IN-HOME
INVESTIGATIONS CASH FOOD STAMPS SUPPORTIVE
SERVICES
Referrals Received 7 g 5
Referrals Completed 4 4 3
PROSECUTIONS
Cases Filed for
Prosecution 4 4 3
Convictions 0 0 0
Quarter 01-06 -03/06
IN-HOME
INVESTIGATIONS CASH FOOD STAMPS SUPPORTIVE
SERVICES
Referrals Received 9 8 5
Referrals Completed 4 4 3
PROSECUTIONS
Cases Filed for
Prosecution 4 4 3
Convictions 1 0 1 0 1 0
Quarter 04/06 -06/06
IN-HOME
INVESTIGATIONS CASH FOOD STAMPS SUPPORTIVE
SERVICES
Referrals Received 2 2 20
Referrals Completed 6 7 2
PROSECUTIONS
Cases Filed for
Prosecution 6 7 2
Convictions 3 3 0
Quarter 07/06 -09/06
IN-HOME
INVESTIGATIONS CASH FOOD STAMPS SUPPORTIVE
SERVICES
Referrals Received 6 10 19
Referrals Completed ' 2 2 0
PROSECUTIONS
Cases Filed for
Prosecution 2 2 1
Convictions 1 2 2 3
Quarter 10/06— 12/06
IN-HOME
INVESTIGATIONS CASH FOOD STAMPS SUPPORTIVE
SERVICES
Referrals Received 10 8 10
Referrals Completed 2 2 13
PROSECUTIONS
Cases Filed for
Prosecution 1 1 0
Convictions 0 0 1
Quarter 01/07—03/07
IN-HOME
INVESTIGATIONS CASH FOOD STAMPS SUPPORTIVE
SERVICES
Referrals Received 2 3 16
Referrals Completed 4 5 11
PROSECUTIONS
Cases Filed for
Prosecution 3 4 3
Convictions 2 2 1
Quarter 04/07—06/07
IN-HOME
INVESTIGATIONS CASH FOOD STAMPS SUPPORTIVE
SERVICES
Referrals Received 3 3 17
Referrals Completed 7 6 14
PROSECUTIONS
Cases Filed for
Prosecution 0 0 5
Convictions 2 2 1