The Investigations Division  protects the integrity of HHS programs through investigations of employee misconduct, contract and recipient fraud, waste, and abuse; to include, but not limited to bribery, theft, and egregious acts against the HHS system and programs. It also analyzes trends and patterns of behavior, and refers cases for Administrative Disqualification Hearings and prosecution to appropriate state or federal regulatory and law enforcement authorities. Additionally, the Investigations Division conducts personnel investigations at the State Supported Living Centers and State Hospitals, as well as within the HHS system.

The Investigations Division has four directorates: General Investigations; Law Enforcement; Internal Affairs; and Training. The division also has a Major Case Unit.

General Investigations

General Investigations (GI) investigates allegations of overpayments to health and human services program clients enrolled in the Supplemental Nutrition Assistance Program (SNAP); Temporary Assistance for Needy Families (TANF) program; Medicaid; Children’s Health Insurance Program (CHIP); and the Women, Infants, and Children (WIC) program.

Law Enforcement

Law Enforcement commissioned and non-commissioned investigators conduct criminal investigations of State Supported Living Centers and State Hospitals violations, and Electronic Benefits Transfers misuse. The two units in this directorate are the State Centers Investigative Team and the Electronic Benefit Transfer Trafficking Unit.

Internal Affairs

Internal Affairs (IA) investigates fraud, waste, abuse, employee misconduct, and contract fraud within the HHS System.

Training

The Training directorate develops modules for investigators, which are designed to increase knowledge and skills, with guidance from the IG’s Professional Development team

Major Case Unit

The Major Case Unit team conducts investigations involving sensitive and serious incidents that often involve high monetary value investigations and egregious situations.

Investigations accounted for 38 percent of IG recoveries in fiscal year 2017.