Appendix D.4 Confirmed Fraud

The Finance and Operations Unit will reconcile all supporting documentation and provide the Deputy for Field Services and the Regional Manager with the final determination as to whether fraud occurred and the amount to the repaid and/or state-purchased goods to be returned to DVR.

The DVR District Supervisor and the individual shall review the DVR Fraud Claim, DVR Fraud Investigation, and DVR Fraud Final Determination, Repayment, and Resolution forms documenting the suspected fraudulent activity, the related evidence and investigation, and the investigation results. The DVR District Supervisor shall notify the individual of the repayment due, and negotiate a repayment plan, if necessary. The responsibility to return goods or funds to CDLE/DVR shall be documented on the DVR Fraud Final Determination, Repayment, and Resolution form.

The DVR District Supervisor and the individual shall review the amounts to be repaid and/or state-purchased goods to be returned and, as applicable, develop a repayment plan, identifying when payments will be made/goods returned and the amount of the repayment/item to be returned. Establishing a repayment plan is at the sole discretion of DVR based on the circumstances of the case. Repayment is expected as soon as reasonably possible. The District Supervisor may approve a repayment plan that does not exceed 12 months. Any repayment plan exceeding 12 months requires appropriate rationale and approval by the Regional Manager. The details of this agreement will be added to the DVR Fraud Final Determination, Repayment, and Resolution form. Once the individual has signed the repayment agreement, the information will be saved to the electronic case file and copied to the Finance and Operations Unit.

The DVR Finance and Operations Unit will log and monitor the activity for the repayment of funds or return of state-purchased goods. DVR Accounting will set up a receivable for each fraud case in which funds will be repaid. On a monthly/quarterly basis, the Finance and Operations Unit will send an updated status report of the repayment progress to the Regional Manager and District Supervisor.

Restitution payments can be made in person at the local office (recommended) or sent to:

Colorado Department of Labor and Employment

Division of Vocational Rehabilitation

Attn: Finance and Operations Manager

633 17th Street, Suite 500

Denver, CO 80202-3615

Payment information must include the Participant ID#.

Payments received will be documented in a case note in DVR’s electronic case management system by the staff person accepting the payment. The Finance and Operations Unit will credit the amount paid by the individual in DVR’s accounting system and monitor the repayment plan.

Failure to repay funds to DVR by the date(s) specified on the DVR Fraud Final Determination, Repayment, and Resolution form may result in the referral of the case to an approved collection agency for the collection of outstanding funds.

State-purchased goods fraudulently obtained or utilized shall be returned, or the value of the goods shall be repaid to DVR, as determined by the Finance and Operations Unit. Failure to return these goods to DVR by the agreed upon date(s) may result in referral to the Colorado District Attorney or the Office of the Attorney General for possible criminal charges. Prior to this referral, a letter, email, and phone call shall be placed to the individual, notifying them that the goods must be returned within two weeks or the case may be referred to the Colorado District Attorney or the Office of the Attorney General for possible criminal charges. If an individual fails to return the goods by the deadline, another letter, email, and phone call shall be placed, notifying them that they have another two weeks to return the goods or the referral shall proceed. Should this last attempt result in non-cooperation, the Regional Manager shall immediately turn the case over for investigation and close the case.