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Program C: Criminal Law and Medicaid Fraud

Program Authorization: La. Constitution, Article IV, Section 8; R.S. 36:701(D) and (E); 36:704(D); La. Code of Criminal Procedure, Articles 61, 62, and 67 and Articles 261-280; R.S. 49:257 (B); R.S. 13:4448; La. Code of Civil Procedure, Article 1880; R.S. 49:251-253; R.S. 15:1311(B); 42:66(G); 42 CFR 1007 (authorizing Medicaid Fraud Control Unit).

PROGRAM DESCRIPTION

The mission of the Criminal Law and Medicaid Fraud Program is to seek justice on behalf of the citizens of the State of Louisiana by the execution of superior, professional, and effective investigation and prosecution of all matters referred to the Department of Justice.

The goals of the Criminal Law and Medicaid Fraud Program are:

  1. Provide superior legal and professional services to the State of Louisiana.
  2. Develop a working environment that encourages competent individuals to seek career employment in the Criminal Law and Medicaid Fraud Program of the Department of Justice.
  3. Improve cooperative working relationships with federal, state, and local agencies and private sector organizations.

The Criminal Law and Medicaid Fraud Program includes two activities (organizationally expressed as divisions): Criminal Division and Investigation Division. The functions and activities of both divisions are supervised by the deputy attorney general and program manager, (who is responsible for monitoring the activities of all staff personnel, including the division directors, as well as for the administration and implementation of policy).

The Criminal Division is divided into six sections: Administrative; Prosecution and Technical Services; Special Services; Violent Crime/Drug Offender Prosecution Program; Medicaid Fraud Control Unit; and White Collar Crimes.

The Investigation Division is divided into four sections: Administrative Section, Trial Section, Special Investigations Section, and General Investigations and Government Support Section.

 

OBJECTIVES AND PERFORMANCE INDICATORS

Unless otherwise indicated, all objectives are to be accomplished during or by the end of FY 1999-2000. Performance indicators are made up of two parts: name and value. The indicator name describes what is being measured. The indicator value is the numeric value or level achieved within a given measurement period. For budgeting purposes, performance indicator values are shown for the prior fiscal year, the current fiscal year, and alternative funding scenarios (continuation budget level and Executive Budget recommendation level) for the ensuing fiscal year (the fiscal year of the budget document).

 

RESOURCE ALLOCATION FOR THE PROGRAM

SOURCE OF FUNDING

This program is funded with State General Fund, Interagency Transfers, and Federal Funds. Interagency Transfers are derived from various state agencies for investigative and legal services. Federal Funds are from the Department of Health and Human Services Medicaid Fraud Unit and the U.S. Department of Justice for drug prosecution.

 

ANALYSIS OF RECOMMENDATION

GENERAL FUND

TOTAL

T.O.

 

DESCRIPTION

 

 

 

 

 

$2,754,041

$4,211,843

73

 

ACT 19 FISCAL YEAR 1998-1999

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$10,000

0

 

Carry forward BA-7 approved for specialized enforcement/investigative training

$19,192

$36,769

0

 

Carry forward BA-7 approved for vehicles ordered timely but not received until after June 30, 1998, including $358 for relocation of communication wiring not completed prior to June 30, 1998

$34,284

$130,954

0

 

Approved BA-7 for Violent Crimes Intelligence System

$0

$10,000

0

 

Approved BA-7 for additional acquisitions provided from the U.S. Marshal (Federal) Funds

$0

$120,000

0

 

Approved BA-7 for a pilot project for an anti-fraud program to identify and investigate possible violations of social security disability laws

 

 

 

 

 

$2,807,517

$4,519,566

73

 

EXISTING OPERATING BUDGET November 20, 1998

 

 

 

 

 

$83,108

$111,489

0

Unclassified State Employees Merit Increases for FY 1999 2000

$430,931

$529,725

0

 

Acquisitions and Major Repairs

($53,477)

($177,724)

0

 

Nonrecurring carry forward for vehicles, other acquisitions, and the Violent Crimes Intelligence System

($75,774)

($82,400)

0

 

Attrition Adjustment

$12,350

$12,350

0

 

Other Adjustments Related Benefits adjustment

$0

($270,561)

0

 

Other Adjustments Requested reductions in anticipated Miscellaneous Court Reporting, Dispositions, etc.

$154,000

$154,000

0

 

New and Expanded Adjustments Drug and Violent Crime Program

 

 

 

 

 

$3,358,655

$4,796,445

73

 

TOTAL RECOMMENDED

 

 

 

 

 

$551,138

$276,879

0

 

DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 106.1% of the existing operating budget. It represents 89.9% of the total request ($5,333,055) for this program. The net increase recommended is primarily due to adjustments for acquisitions and to the increase for the Drug and Violent Crime Program.

 

PROFESSIONAL SERVICES

$18,388

 

Legal Services

 

 

 

$18,388

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$196,067

 

Legal services for taking depositions, court costs, and travel for witnesses

$123,600

 

Salaries and Related Benefits for legal services provided to state agencies

 

 

 

$319,667

 

TOTAL OTHER CHARGES

 

 

 

 

 

Interagency Transfers:

$14,690

 

Miscellaneous services/maintenance for state buildings

 

 

 

$14,690

 

TOTAL INTERAGENCY TRANSFERS

 

 

 

ACQUISITIONS AND MAJOR REPAIRS

$22,300

 

Library Reference Materials replacements

$340,000

 

Replacement of high mileage vehicles (18)

$64,425

 

Replacement Computer Equipment

$25,000

 

Replacement Office furniture

$88,000

 

Replacement of Medicaid Fraud investigative equipment, furniture, and computers

 

 

 

$539,725

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS

 


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