RR: 3 Dual Participation Report (New)

Effective Date: 04/95 Downloads: PDF Version    Revised Date: 02/17
   

Policy

In order to detect fraud and abuse within the Nevada WIC program, WIC clinics will complete the Dual Participation report upon receipt to identify and sanction any participants receiving benefits from more than one WIC clinic in any given month.

 

Procedure

The Dual Participation Report is a listing of participants whose first and last names, sex, birth month/year, and ethnic code were identical. The match is done across all State clinics, and Inter-Tribal Council of Nevada WIC clinics.

Matches can indicate:

  • dual participation
  • duplicate records within the same clinic
  • persons who changed clinics (with or without moving) without informing the original WIC clinic.

The Dual Participation Report is generated at the State Office monthly and sent to the Local agencies. Local Agencies are required to complete the form and return to the State office within 30 days from receipt as indicated.

  1. If it is discovered that there are duplicate records within the same clinic, terminate one client computer record for each duplicate record. Record on the report a “# 1” to indicate the deleted record and also include the date.
  2. Identify which of the suspected dual participants are definitely not participating, but are enrolled at two clinic sites. The local agency where the dual enrollee is no longer participating is responsible to delete the corresponding participant computer record. Record on the report a “# 2” to indicate the deleted record and also include the date.
  3. Identify which of the suspected participants are currently participating at your clinic. Contact the other clinic listed for the participant to determine whether the participant is currently participating at that site. If found to be dual participating follow the procedure “Participant Abuse and Sanctions” CR: 10. Record on the report a “# 3” to indicate the deleted record and also include the date.

Make a copy of the completed report and return the original to State Office immediately, but no later than 30 days from the date of receipt of the report as indicated.