Applying eWIC Data for Fraud Detection€¦ · Skippy Peanut Butter. Audits by Category/Subcategory...

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Transcript of Applying eWIC Data for Fraud Detection€¦ · Skippy Peanut Butter. Audits by Category/Subcategory...

WIC Program IntegrityApplying eWIC Data for Fraud Detection

Carrie CoenenEBT Next Generation 2017November 7, 2017

Purpose

Provide proven vendor profiles

Provide examples and suggestions

Show how to apply the data

Identifying high risk vendors

Data mining

Large raw data sets

Useful tools

Analysis

EBT redemption reports

Zip code report

eWIC monthly comparison report

Looking for outliers

Investigation decisions

DataAnalysis

Store History

Action

ComplianceBuys

Audit

CombinedNo Action

Program integrity priorities

TraffickingTrafficking

AuditAudit

Monitoring ViolationsMonitoring Violations

What is eWIC fraud?

Trafficking and substitution of approved foodsTrafficking and substitution of approved foods

Intentional act of fraudIntentional act of fraud

Compliance buy stepladder

Familiarization/Safe Buy

Substitution

Alcohol/Tobacco/Cash

Evidence discovery

Good Start Formula

Gallon Milk

Skippy Peanut Butter

Audits by Category/Subcategory

381100Corn Flakes 12 oz.

381200Corn Flakes 18 oz.

38000 00127Corn Flakes 24 oz.

# Units Sold

# Units Sold

# Units Sold

Charging decision

Wis. Stat. §253.06

Wis. Adm. Code ch. DHS 149

Admin. & Criminal

Felony charges

Administrative charges

Notice

Describe compliance buys and payment

Detail violations

The Integrity Profile (TIP)

0

2

4

6

8

10

12

FFY13 FFY14 FFY15 FFY16

TraffickingAlcohol/TobaccoAudit

Future

Adapt to change

Continue to ask WHY

Contact information

Carrie L. Coenen, R.S.WIC Vendor and Integrity Unit SupervisorWI DHS Office of the Inspector Generalcarrie.coenen@wi.gov(608) 267-9744