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TRANSCRIPT
How the PARIS Interstate Match Has Evolved in Wisconsin
Office of the Inspector General Fraud Investigation, Recovery and Enforcement Section
PARIS Conference – March 15, 2016 Presented by Michael McKenzie and Jolyne Franklin PARIS
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State supervised, locally administered
72 counties, 9 tribes
Just over 5.7 million people live here
Milwaukee metro area about 1.6 million
About 795,000 people receive FoodShare (FS) benefits
About 1.2 million people receive some kind of Medicaid (MA)
A little bit about
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Miller Park, home of the Milwaukee Brewers, is the only baseball stadium that sells more brats than hot dogs.
Wisconsin Statute 97.18, aka the “oleomargarine rule,” makes it against the law to substitute margarine for butter in a restaurant unless the customer requests it…
A little more about
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Today’s Presentation The Way We Were
Moving Forward
Building the PARIS Team
PARIS Pilot Project
Where We Are Now
PARIS Success Stories
Where We Are Headed
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The Way We Were One person to manage the fraud program
Each county and tribe administering its own fraud program
Two PARIS agents, contracted through the University of Oshkosh, processing PARIS matches
Separate funding allocated for front end and fraud investigations
Little accountability, guidance, or monitoring
Fraud prevention and detection not highly prioritized
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The Way We Were Funding varied annually
No $ allocated to agencies in 2010
Very few Intentional Program Violation (IPV) sanctions
No trafficking investigations
Cited annually by Food and Nutrition Service (FNS) for low claims establishment
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Moving Forward!
The statue “Wisconsin,” affixed to the top of the Wisconsin capitol dome (yes, that is a badger on her head!)
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Moving Forward! January 2011 – Governor Scott Walker established the Governor’s Commission on Waste, Fraud and Abuse
October 2011 – Wisconsin Department of Health Services created the Office of the Inspector General (OIG)
Wisconsin’s 2011-13 biennial budget authorized nineteen new OIG positions, including four additional PARIS agents for a total of six
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Fraud Consortia
Mike McKenzie Section Chief
Vacant WIC Monitoring
Coordinator
Jean Diedrich WIC Authorization
Manager
Chris Grover WIC Vendor
Manager
Alan Sheil WIC Compliance
Manager
Svea Erlandson WIC License/Permit Program Associate
Vicki Harkins WIC Vendor
Auditor
Carrie Coenen Supervisor
WIC Vendor and Integrity Unit
Jolyne Franklin Supervisor
Trafficking Enforcement and PARIS Unit
Wendy Metcalf Supervisor
Investigation and Technical Support Unit
Donald Shogren HSPC
Kim Reniero Data and
Research Analyst
Nadine Stankey Card Trafficking Agent
Diane Peterson PARIS Agent
Megan Ryan PARIS Agent
Kris DeBlare PARIS Agent
Jolyne Pedracine PARIS Agent
Leslie Vosters PARIS Agent
Aimee Rentmeester PARIS Agent
Nicole Housley Card Trafficking Agent
Kevin Rinka Card Trafficking Agent
Tanya Allen Fraud Investigator
Nick Kwaw Fraud Investigator
Elizabeth Branney-Gant
Fraud Investigator
Melissa Elson Fraud Investigator
Keegan Trentsch Fraud Investigator
Sherrie Johnson Fraud Investigator
Candice Canales Fraud Investigator
Robert Klingforth Fraud Investigator
Mary Lou Castro HSPC-Senior
Overpayment Specialist
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Fraud Investigation, Recovery and Enforcement Section
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Building the PARIS Team Assigned each agent a portfolio of states
Agents reviewed and investigated their assigned states’ cases from the quarterly PARIS Report
Agents established and processed their own overpayments
Agents conducted their own fair hearings
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Building a Collaborative Effort
Promoted the PARIS team statewide
PARIS presentations at state conferences
Reviewed benefit recovery processes statewide
Encouraged feedback from agencies
Attended monthly fraud prevention integrity meetings with consortia
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PARIS Pilot Project
Six month project – April 1, 2014 through September 30, 2014
Three PARIS agents and their 26 assigned states
Expected outcome
Results
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Where We Are Now
Four PARIS agents working referrals through overpayment claims
Two PARIS agents processing IPV/ADH/waivers (backlog and current)
Results
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Where We Are Headed
Review of analytics suggest the following:
Six PARIS agents to process their own assigned states’ referrals from investigation through IPV
Emphasis on cooperating states
Increased focus on geographical trends
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Thank You! Presenter Contact Information:
[email protected] 608.266.0930
[email protected] 608.267.2849