Virginia Regulatory Town Hall
Agency
Department of Social Services
Board
State Board of Social Services
chapter
Fraud Reduction/Elimination Effort [22 VAC 40 ‑ 325]
Action:
Rename Program and Modify Local Reimbursement Formula
Action 6675
 
General Information
Action Summary This regulatory change will rename the Fraud Reduction/Elimination Effort to the Statewide Fraud Control Program. It will also change the methodology used to reimburse local departments of social services. The current formula for reimbursement to local departments of social services for fraud control activities provides more weight to the size of a locality’s caseloads for programs and less weight to actual fraud control activities taken or completed. This results in uneven reimbursement rates when compared to performance of desired outcomes, such as investigations initiated, claims established, or other similar actions. This regulatory action will move away from a formula that is caseload based, to one that reflects actual fraud work.
Chapters Affected Only affects this chapter.
Executive Branch Review This action will go through the normal Executive Branch Review process.
RIS Project Yes  [8195]
New Periodic Review This action will be used to conduct a new periodic review.
 
Stages
Stages associated with this regulatory action.
Stage ID Stage Type Status
10634 NOIRA DPB review in progress.
 
Contact Information
Name / Title: Susan Lloyd  / Fraud Consultant
Address: 5600 Cox Road
Glen Allen, VA 23060
Email Address: susan.lloyd@dss.virginia.gov
Phone: (804)682-1207    FAX: ()-    TDD: ()-