Virginia Administrative Code (Last Updated: January 10, 2017) |
Title 12. Health |
Agency 5. Department of Health |
Chapter 195. Virginia WIC Program |
Section 200. Program abuse and sanctions
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A. The state agency determines program abuse and sanctions that may be issued to applicants and participants. When more than one abuse is involved at a time, the sanction shall be based on the more serious abuse.
B. If an abuse occurs more than 12 months after the last abuse, the local agency shall process the abuse as a first offense.
C. When more than three abuses in a 12-month period occur, the local agency shall issue a three-month temporary disqualification.
D. Program abuses and assigned sanctions are as follows:
Abuse
Number of Offenses
Sanction
Class I
Any deliberate misrepresentation of income, name, residence, family size, medical data, or date of birth to obtain WIC benefits
All
Three-month disqualification
Dual participation – redeeming food instruments from two programs/agencies in same month
All
One-year disqualification
Assessed claim for $100 or more
All
One-year disqualification
Assessed second or subsequent claim for any amount
2nd or subsequent
One-year disqualification
Attempting to steal or actually stealing food instruments from the local agency or another participant, if under $100
All
Three-month disqualification
Selling, exchanging or giving away food instruments, food, or formula
All
Three-month disqualification
Redeeming WIC food instruments reported as lost or stolen, if under $100
All
Three-month disqualification
Attempting to redeem or redeeming WIC food instruments for nonfood items (i.e., diapers, wine, cigarettes)
All
Three-month disqualification
Physically abusing the WIC or retailer staff (An incidence of physical abuse of WIC or retailer staff/property should be reported to the police)
All
Three-month disqualification
Accepting cash or credit from a retailer in connection with a WIC transaction
1st
One-month disqualification
2nd
Two-month disqualification
3rd
Three-month disqualification
Alteration of WIC food instruments (includes date, quantities, types of food)
1st
One-month disqualification
2nd
Two-month disqualification
3rd
Three-month disqualification
Class II
Creating a public nuisance at the local agency or the retailer (i.e., verbally abusing, harassing, or threatening WIC or retailer staff, destroying retailer merchandise, or disrupting normal local agency or retailer activities)
1st
Warning letter
2nd
Two-month disqualification
3rd
Three-month disqualification
Attempting to redeem or redeeming WIC food instruments for unauthorized food, formula or food amounts
1st
Warning letter
2nd
Two-month disqualification
3rd
Three-month disqualification
Allowing unauthorized person(s) to use the WIC ID Folder to pick-up and/or redeem WIC food instruments
1st
Warning letter
2nd
Two-month disqualification
3rd
Three-month disqualification
Deliberately damaging or destroying WIC food instruments
1st
Warning letter
2nd
Two-month disqualification
3rd
Three-month disqualification
Redeeming WIC food instruments before or after valid spend dates
1st
Warning letter
2nd
One-month disqualification
3rd
Two-month disqualification
Attempting to redeem or redeeming food instruments at unauthorized retailers
1st
Warning letter
2nd
One-month disqualification
3rd
Two-month disqualification
Historical Notes
Derived from Volume 24, Issue 19, eff. May 26, 2008; amended, Virginia Register Volume 29, Issue 12, eff. March 13, 2013.
Statutory Authority
§ 32.1-12 of the Code of Virginia; 7 CFR Part 246.