Applying eWIC Data for Fraud Detection€¦ · Skippy Peanut Butter. Audits by Category/Subcategory...
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WIC Program Integrity Applying eWIC Data for Fraud Detection Carrie Coenen EBT Next Generation 2017 November 7, 2017
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)
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6
8
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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 [email protected](608) 267-9744
