Financial Fraud: Virginia Department of Social Services (VDSS) Pay For Violated the False Claims Act

<p>The Virginia Department of Social Services &lpar;VDSS&rpar; has agreed to pay the United States &dollar;7&comma;150&comma;436 to resolve allegations that it violated the False Claims Act in its administration of the Supplemental Nutrition Assistance Program &lpar;SNAP&rpar;&comma; the Department of Justice announced today&period; Until 2008&comma; SNAP was known as the Food Stamp Program&period;<&sol;p>&NewLine;<div class&equals;"mh-content-ad"><script async src&equals;"https&colon;&sol;&sol;pagead2&period;googlesyndication&period;com&sol;pagead&sol;js&sol;adsbygoogle&period;js&quest;client&equals;ca-pub-9162800720558968"&NewLine; crossorigin&equals;"anonymous"><&sol;script>&NewLine;<ins class&equals;"adsbygoogle"&NewLine; style&equals;"display&colon;block&semi; text-align&colon;center&semi;"&NewLine; data-ad-layout&equals;"in-article"&NewLine; data-ad-format&equals;"fluid"&NewLine; data-ad-client&equals;"ca-pub-9162800720558968"&NewLine; data-ad-slot&equals;"1081854981"><&sol;ins>&NewLine;<script>&NewLine; &lpar;adsbygoogle &equals; window&period;adsbygoogle &vert;&vert; &lbrack;&rsqb;&rpar;&period;push&lpar;&lbrace;&rcub;&rpar;&semi;&NewLine;<&sol;script><&sol;div>&NewLine;<p>Under SNAP&comma; the U&period;S&period; Department of Agriculture &lpar;USDA&rpar; provides eligible low-income individuals and families with financial assistance to buy nutritious food&period; Since 2010&comma; SNAP has served on average more than 45 million Americans per month&comma; and provided more than &dollar;71 million annually&period;<&sol;p>&NewLine;<p>&OpenCurlyDoubleQuote;SNAP is an important vehicle for helping needy families&comma;” said Acting Assistant Attorney General Chad A&period; Readler of the Justice Department’s Civil Division&period; &OpenCurlyDoubleQuote;This settlement reflects the Justice Department’s commitment to ensuring that taxpayer funds are spent appropriately so that the public can have confidence in the integrity of vital programs like SNAP&period;”<&sol;p>&NewLine;<p>Although the federal government funds SNAP benefits&comma; it relies on the states to determine whether applicants are eligible for benefits&comma; to administer those benefits&comma; and to perform quality control to ensure that its eligibility decisions are accurate&period; USDA requires that the quality control processes the states use ensure that benefits are correctly awarded&comma; are free from bias&comma; and accurately report states’ error rates in making eligibility decisions&period; The USDA reimburses states for a portion of their administrative expenses in administering SNAP&comma; including expenses for providing quality control&period; The USDA also pays performance bonuses to states that report the lowest and the most improved error rates each year&comma; and can impose monetary sanctions on states with high error rates that do not show improvement&period;<&sol;p>&NewLine;<p>As part of the settlement&comma; VDSS admitted that&comma; beginning in 2010&comma; it retained Julie Osnes Consulting&comma; a quality control consultant&comma; to reduce its SNAP benefits determination error rate by training VDSS quality control workers to &OpenCurlyDoubleQuote;use whatever means necessary” to find a benefits decision &OpenCurlyDoubleQuote;correct” rather than finding an error&period; VDSS also admitted that if its quality control staff &OpenCurlyDoubleQuote;could not find a way to make a benefits decision correct&comma;” they were instructed to &OpenCurlyDoubleQuote;find a reason to &OpenCurlyQuote;drop’ the case&comma; or eliminate it from the sample&period;” VDSS acknowledged that this outcome-driven method&comma; as implemented by VDSS between 2010 and 2015&comma; &OpenCurlyDoubleQuote;injected bias into the case review process” because it was designed to lower VDSS’s reported error rate by falsely reporting errors as &OpenCurlyDoubleQuote;correct” or eliminating them from the sample&period; Through its use of these biased methods&comma; VDSS was improperly awarded USDA performance bonuses for 2011&comma; 2012&comma; and 2013&period;<&sol;p>&NewLine;<p>VDSS further admitted that VDSS quality control workers did not want to use the methods proposed by Julie Osnes Consulting because they believed the methods lacked integrity&comma; injected bias into the quality control process&comma; and violated USDA requirements&comma; and that they communicated these concerns to their supervisors&period; VDSS admitted that the former VDSS quality control manager pressured and intimidated these employees to force them to adopt these methods&comma; including&comma; according to these employees&comma; threatening termination&comma; providing negative performance reviews&comma; taking away teleworking and flexible scheduling privileges&comma; and engaging in other forms of harassment and retaliation&period;<&sol;p>&NewLine;<p>As part of the settlement&comma; VDSS and the United States also agreed that VDSS had taken certain corrective actions beginning in 2015&comma; including terminating its use of the improper quality controls methods devised by Julie Osnes Consulting&period;<&sol;p>&NewLine;<p>&OpenCurlyDoubleQuote;We appreciate the commitment and investigative assistance provided by our partners at the U&period;S&period; Department of Justice’s Civil Division&comma; U&period;S&period; Attorney’s Office&comma; and Virginia Office of the State Inspector General&comma;” said Special Agent-in-Charge Bethanne M&period; Dinkins of the USDA Office of Inspector General &lpar;OIG&rpar;&period; &OpenCurlyDoubleQuote;We also wish to note the technical assistance provided by our colleagues in the Office of Audit at USDA&comma; OIG&period; During our investigation&comma; we worked together to address the concerns of state employees and others who alleged that the integrity of the SNAP quality control process was weakened by third-party consultants&period; These concerned individuals reported that cases were not being treated in a consistent manner&comma; and that certain advice from consultants resulted in identified errors being diminished rather than used to improve eligibility determinations&period; Today’s settlement sends a strong message regarding the Government’s commitment to work across agency lines to protect the integrity of SNAP&period;”<&sol;p>&NewLine;<p>The settlement was the result of an investigation conducted by the USDA Office of Inspector General &lpar;USDA-OIG&rpar;&comma; the Civil Division’s Commercial Litigation Branch&comma; and the U&period;S&period; Attorney’s Office for the Western District of Wisconsin that arose out of a nationwide audit of SNAP QC processes by the USDA-OIG&period;<&sol;p>&NewLine;

Financial Fraud