Senior Management Analyst
Program Integrity Division
The mission of the Program Integrity Division (PID) is to ensure that clients receive all benefits to which they are entitled, while enhancing the integrity of Social Services Agency programs.
Program Integrity Division staff also ensure those who are not eligible for public assistance are denied access to funds. In addition to the Welfare Fraud functions, PID administers and monitors Appeals/Compliance, Quality Assurance and Quality Control, Work Participation Rate, and IEVS (Income and Eligibility Verification System).
In our ongoing effort to ensure program accuracy and prevent welfare fraud, the following division sections work as a cohesive team:
Appeals Officers assigned to this section are responsible for the review and preparation of county positions as they relate to fair hearing requests filed by applicants and recipients of public assistance. The fair hearing requests can be filed on CalWorks, Cal-Fresh, Medi-Cal, General Assistance, In-Home Supportive Services, Foster Care, and Employment program issues.
Compliance Workers (Eligibility Technician IIIs) review fair hearing requests for aid-paid-pending, while ensuring compliance of administrative hearing decisions and conditional withdrawals.
Income and Eligibility Verification System:
Eligibility Staff within the IEVS section identify CalWorks or Cal-Fresh recipients who fail to disclose, or under-report, employment earnings or other assets. The IEVS section receives income and asset information from the California Department of Social Services (CDSS) Fraud Bureau, which matches recipients with various data sources to verify eligibility for the amount of benefits being received. The IEVS eligibility staff also computes any resulting CalWORKs cash overpayments, general assistance overpayments and/or Cal-Fresh overissuances.
Quality Assurance Technicians and Employment staff perform state and federally mandated quality assurance and control functions for CalWorks, Cal-Fresh, Employment (Work Participation Rate), General Assistance, and In-Home Supportive Services (IHSS) programs.
Welfare Fraud Prevention:
Sworn California Peace Officers seek to combat welfare fraud through a variety of functions. The officers verify the accuracy of information provided by public aid applicants thru Early Fraud Detection Investigations. They review ongoing case information to ensure accuracy and compliance with Federal, State, and local regulations. Fraudulent cases are referred to the District Attorney for prosecution. They initiate processes for repayment of debt through restitution, grant adjustment, or referral to Central Collections.