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ACCOMPLISHMENTS CONTINUED
Fraud Investigation Unit (FIU)
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Continued to lead the state as one of the first fraud units in California to implement CalFresh
benefits trafficking program resulting in 292 cases involving EBT trafficking being investigated
and forwarded to the Appeals Unit for review. Out of those cases, action was taken on 164,
which resulted in disqualification through either a waiver process or a hearing decision by an
administrative law judge.
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Completed 2,428 fraud referrals utilizing a computerized analytic data report through June 2014
with a total of 689 cases with discrepancies, for an overall discrepancy rate of 28 percent.
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Referred 151 felony cases to the District Attorney’s Office for prosecution, with an additional
156 cases sent to collections.
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Identified $1,194,954.91 in fraud overpayment/over-issuance which was sent to the District
Attorney’s Office for prosecution, while the total amount sent to collections was $475,166.
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Completed a total of 11,274 case investigations.
Goals for 2014/2015
PID ESTABLISHED THE FOLLOWING GOALS FOR 2014/2015:
Case Review Unit (CRU)
1. Complete testing and development phase of CARATS and fully implement the new system.
2. Continue focus on the reduction of County liability and exposure by identifying significant
abuse trends and outlining areas of improvement in managing Critical Incidents.
3. Continue efforts to increase awareness of CRU and the Critical Incident referral process
through communication, feedback and increased personal contact with staff.
Quality Review Unit (QRU)
1. Develop and implement a CalWORKs/CalFresh recoupment computation unit.
2. Develop and implement an expanded Home Call process.
Appeals Unit (AU)
1. Continue to evaluate unit practices refining, updating and developing innovative approaches to
achieve and maintain successful outcomes.