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<chapter num="10" heading="Office of the Inspector General" title_num="07" subtitle_num="01">
  <regulation prefix="Regulation" num=".01" heading="Purpose.">
    <paragraph num="A.">
      <text>The Department shall establish an Office of the Inspector General (OIG).</text>
    </paragraph>
    <paragraph num="B.">
      <text>Mission of the OIG. The OIG:</text>
      <paragraph num="(1)">
        <text>Protects the integrity of the Department and local departments;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Ensures the achievement of program goals and compliance with State statutes and regulations by providing the following independent preventive and enforcement services:</text>
        <paragraph num="(a)">
          <text>Investigations,</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Reviews, and</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Internal audits; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(3)">
        <text>Identifies, investigates, and resolves suspicions of fraud, waste, and abuse.</text>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>The OIG shall consist of, but not be limited to, units that perform the following functions:</text>
      <paragraph num="(1)">
        <text>Deter and investigate suspected program fraud;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Deter and investigate suspected employee and contractor misconduct; and</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Conduct internal audits.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".02" heading="Definitions.">
    <paragraph num="A.">
      <text>In this chapter, the following terms have the meanings indicated.</text>
    </paragraph>
    <paragraph num="B.">
      <text>Terms Defined.</text>
      <paragraph num="(1)">
        <text>“Administration” means any of the following administrations within the Department:</text>
        <paragraph num="(a)">
          <text>Social Services Administration;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Family Investment Administration;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Child Care Administration; and</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Child Support Administration.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(2)">
        <text>Department.</text>
        <paragraph num="(a)">
          <text>“Department” means the Department of Human Services.</text>
        </paragraph>
        <paragraph num="(b)">
          <text>“Department” includes all of the Department's administrations, divisions, boards, commissions, offices, and other agencies.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(3)">
        <text>“Fraud” means obtaining, attempting to obtain, or aiding an individual in obtaining or attempting to obtain, through willful misrepresentation, assets or benefits to which the individual is not entitled.</text>
      </paragraph>
      <paragraph num="(4)">
        <text>“Independent” means free from influence, persuasion, bias, control, or determination of another or others.</text>
      </paragraph>
      <paragraph num="(5)">
        <text>“Internal audits” means conducting examinations of Department and local department records and activities in compliance with the Auditing Standards of the Institute of Internal Auditors.</text>
      </paragraph>
      <paragraph num="(6)">
        <text>“Local department” means the local department of social services in a county or Baltimore City and the Montgomery County Department of Health and Human Services.</text>
      </paragraph>
      <paragraph num="(7)">
        <text>“Misconduct” means unlawful, unethical, or dishonest behavior.</text>
      </paragraph>
      <paragraph num="(8)">
        <text>“Program” means the activities of the Department's administrations.</text>
      </paragraph>
      <paragraph num="(9)">
        <text>“Secretary” means the Secretary of Human Services.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".03" heading="Responsibilities of the Inspector General.">
    <paragraph num="A.">
      <text>Program Fraud. The OIG shall provide a uniform level of prevention and investigation services relating to program fraud, including suspected fraudulent activities by customers, throughout the Department and local departments.</text>
    </paragraph>
    <paragraph num="B.">
      <text>Employee and Contractor Investigations. The OIG shall provide a uniform level of investigative services involving allegations of misconduct by Department and local department staff, contractors, and contractors' employees.</text>
    </paragraph>
    <paragraph num="C.">
      <text>Internal Audit. The OIG shall provide the following internal audit functions:</text>
      <paragraph num="(1)">
        <text>Conduct internal audits throughout the Department and local departments which include:</text>
        <paragraph num="(a)">
          <text>Financial,</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Compliance, and</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Performance;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(2)">
        <text>Conduct financial and compliance audits of the 24 local departments every 3 years;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Provide independent and objective assessments regarding the Department's and local departments' operations to the Secretary;</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Assist the Department and local departments in evaluating and improving risk management, controls, and process management; and</text>
      </paragraph>
      <paragraph num="(5)">
        <text>Monitor and, when applicable, review the implementation of the Department's and local departments' corrective action plans in response to State and federal audits.</text>
      </paragraph>
    </paragraph>
    <paragraph num="D.">
      <text>Overpayment. The OIG shall provide overpayment functions by calculating and establishing overpayments as a result of an OIG investigation in accordance with overpayment procedures as described in COMAR 07.03.14.03A and D(2)(a) and (b).</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".04" heading="Responsibilities of the Department and the Local Departments.">
    <paragraph num="A.">
      <text>Employees and Contractors.</text>
      <paragraph num="(1)">
        <text>Employees, contractors, and contractors' employees shall cooperate fully with OIG staff conducting official investigations, reviews, and internal audits.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>The OIG shall have access to Department, local department, and contractor records relevant to the activities of the OIG.</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>Program Fraud. Following an OIG's program fraud investigation, the local department staff shall determine, based on information from the investigation, the program eligibility of the customer in accordance with an administration's eligibility requirements.</text>
    </paragraph>
    <paragraph num="C.">
      <text>Employee or Contractor Misconduct. Following an OIG's employee or contractor misconduct investigation, the appropriate manager shall determine, based on information from the investigation, any administrative or disciplinary action required in accordance with Department and State requirements and policies.</text>
    </paragraph>
    <paragraph num="D.">
      <text>Internal Audit. Following an OIG internal audit, the appropriate manager of the Department or local department shall develop and implement a corrective action plan responsive to the conditions an recommendations specified in the final audit report.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".05" heading="Cooperation with Other Agencies.">
    <paragraph num="A.">
      <text>The OIG may participate in investigations and audits, and monitor implementation of corrective actions described in Regulation .03 of this chapter, in conjunction with applicable activities of any federal, State, or local agency.</text>
    </paragraph>
    <paragraph num="B.">
      <text>The OIG shall maintain liaison with the Office of the Attorney General and State's attorney's offices by:</text>
      <paragraph num="(1)">
        <text>Referring cases to prosecutors which show evidence of fraud or other criminal misconduct; and</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Assisting the prosecutor in further investigation, if needed, and in the prosecution of cases, when requested.</text>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>The OIG shall maintain liaison with the Maryland Department of Health, the Department of Juvenile Services, and the Maryland State Department of Education offices by:</text>
      <paragraph num="(1)">
        <text>Referring to prosecutors cases that show evidence of fraud or other criminal misconduct; and</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Assisting the prosecutor in further investigation, if needed, and in the prosecution of cases, when requested.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <annotations>
    <annotation type="Authority">Human Services Article, §§2-203, 2-205, 2-209, and 3-602, Annotated Code of Maryland; Federal Regulatory Reference: 45 CFR 74; Executive Order 01.01.1994.06</annotation>
    <annotation type="History" subtype="Administrative History">Effective date: February 27, 1995 (22:4 Md. R. 235)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .02A amended effective March 10, 1997 (24:5 Md. R. 407)</annotation>
    <annotation type="History" subtype="Administrative History">Regulations .01—06 repealed and new Regulations .01—.05 adopted effective November 27, 2000 (27:23 Md. R. 2146)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .03C amended effective November 1, 2010 (37:22 Md. R. 1553)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .03D adopted effective November 19, 2007 (34:23 Md. R. 2025)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .05C adopted effective November 19, 2007 (34:23 Md. R. 2025)</annotation>
  </annotations>
</chapter>