BACKGROUND

CHALLENGES / OBJECTIVESSNAPSHOT

HCL develops an Investigative Services Information System (ISIS) for the Department of Human Resources (DHR)-State of Georgia

To ensure the health and welfare of the Georgians, DHR provides more than 100 programs which include those that control the spread of disease, enable older people live at home longer, prevent children from developing lifelong disabilities, train single parents to find and hold jobs, and help people with mental or physical disabilities to live and work in their communities

The OIS (Office of Investigative Services) is a mobile agency with twelve regional offices. Its primary function is to investigate fraud in public assistance programs such as Temporary Assistance for Needy Families (TANF; formerly AFDC), Food Stamps, and Childcare. The office also investigates suspected employee misconduct and misuse of funds within DHR and by anyone contracted to DHR at the request of the division director. It also ensures the integrity of the organization and recoups large amounts of money that are returned to the state.

Vertical: Public Services Micro-vertical: Government

Service Areas: Application / Solution Development & Maintenance

Technologies: Java/J2EE, BEA-Web Logic 7.0 , SP2, Oracle 9i database, Sun ONE Application, BizFlow 10.1

IPs / Frameworks: iGOVERN™ Child Care Solution

Develop an integrated, web-based, statewide case tracking system to assist in suspected fraud investigations. [Public assistance funds are distributed in the form of food stamps, TANF and Childcare in the state of Georgia and in many instances, clients fail to report their true circumstances at the point of application or fail to report a change in their circumstances during the certification period. The DHR OIS has to ensure the integrity of the public assistance programs, by addressing all allegations of potential abuse.  In order to do so, it is necessary to maintain an accurate record of all pending and completed investigations]

The current batch system in which data is captured based on the referrals and investigation progress had several drawbacks that severely hampered efforts and slowed down the investigative process

RESULTS / BENEFITS

THE SOLUTION

Real-time workflow implementation and routing of complaints to Unit Supervisors Automatic validation of adjudication events and business rules during investigation Generating various statistical reports for management Generating letter and document templates; acknowledgement letters and maintaining electronic attachments online Workflow enabled, multi-level approval of the Case Close process Faster investigation and faster and accurate dynamic cross referencing of subjects in other complaints

HCL developed an integrated, web-based, statewide case tracking system to assist in suspected fraud investigations. The system handles fraud cases from 13 OIS regions and 159 counties. Programs handled include: Food Stamp (EBT and non EBT cases), TANF, Child Care, Child Care

Client/Provider and Internal Investigations The ISIS system covers security, access control, user roles, and other features; provides tracking and case

management for all kinds of referrals, carries out various administrative investigation processes, and handles the disposition of cases as per pre-defined business rules

The system also enables case administration by reassigning and transferring cases, has quality assurance for selected cases at every stage of progress, generates alerts for every investigation process wherever deadlines are to be achieved, and interfaces with other external systems from ASCII text file formats

It provides various reports for internal and inter-departmental use

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