applying ewic data for fraud detection€¦ · skippy peanut butter. audits by category/subcategory...
TRANSCRIPT
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WIC Program IntegrityApplying eWIC Data for Fraud Detection
Carrie CoenenEBT Next Generation 2017November 7, 2017
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Purpose
Provide proven vendor profiles
Provide examples and suggestions
Show how to apply the data
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Identifying high risk vendors
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Data mining
Large raw data sets
Useful tools
Analysis
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EBT redemption reports
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Zip code report
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eWIC monthly comparison report
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Looking for outliers
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Investigation decisions
DataAnalysis
Store History
Action
ComplianceBuys
Audit
CombinedNo Action
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Program integrity priorities
TraffickingTrafficking
AuditAudit
Monitoring ViolationsMonitoring Violations
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What is eWIC fraud?
Trafficking and substitution of approved foodsTrafficking and substitution of approved foods
Intentional act of fraudIntentional act of fraud
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Compliance buy stepladder
Familiarization/Safe Buy
Substitution
Alcohol/Tobacco/Cash
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Evidence discovery
Good Start Formula
Gallon Milk
Skippy Peanut Butter
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Audits by Category/Subcategory
381100Corn Flakes 12 oz.
381200Corn Flakes 18 oz.
38000 00127Corn Flakes 24 oz.
# Units Sold
# Units Sold
# Units Sold
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Charging decision
Wis. Stat. §253.06
Wis. Adm. Code ch. DHS 149
Admin. & Criminal
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Felony charges
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Administrative charges
Notice
Describe compliance buys and payment
Detail violations
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The Integrity Profile (TIP)
0
2
4
6
8
10
12
FFY13 FFY14 FFY15 FFY16
TraffickingAlcohol/TobaccoAudit
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Future
Adapt to change
Continue to ask WHY
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Contact information
Carrie L. Coenen, R.S.WIC Vendor and Integrity Unit SupervisorWI DHS Office of the Inspector [email protected](608) 267-9744