13.1.4  Fraud Program Activities

W-2Wisconsin Works agencies must differentiate between the following types of program integrity activities:

1.             Routine verification for eligibility determination conducted on all applications and reviews detailed in W-2 Manual Chapters 1, 2, 3, and 17;

2.             Selection of cases that exhibit error-prone case characteristics for referral to FEVFront-End Verification;

3.             Selection of potential fraud cases for referral to fraud investigation;

4.             Establishment of IPVIntentional Program Violations;

5.             Initiation of fraud overpayment claims and collections; and

6.             Referral of cases to the local District Attorney’s office for criminal prosecution.

Separation of these activities is necessary for proper reporting in the Benefit Recovery and Investigation Tracking System (BRITS).

History: There are no previous versions of this policy.