Current through Register Vol. 35, No. 18, September 24, 2024
A.
GENERALLY: The State WIC Office may impose sanctions upon a vendor for
non-compliance with the program. Sanctions may include immediate
disqualification from the program, or such other lesser penalties, in addition
to or in lieu of disqualification, as the State WIC Office deems appropriate to
the nature and severity of the violation(s). In addition to sanctions which may
be imposed by the state WIC office, a vendor who commits fraud or abuse of the
system, or who deals unlawfully in WIC food instruments, or who aids and abets
another in so doing, is liable to prosecution and fines under state and federal
law.
B.
PENALTIES &
OFFENSES:
(1) Disqualification. Grounds
for outright disqualification of a vendor from the program include, but are not
limited to, the following:
(a) Redeeming WIC
food instruments while the vendor is suspended or disqualified.
(b) Charging WIC customers tax on WIC
purchases.
(c) Failing to enter the
actual purchase price of authorized foods and/or infant formulas purchased on
WIC food instruments at the time of redemption.
(d) Redeeming WIC food instruments for fixed
amounts that do not reflect actual authorized food package costs.
(e) Redeeming WIC food instruments for dollar
amounts greater than actual authorized food package costs.
(f) Causing or permitting unfair or
discriminatory treatment of WIC participants, or otherwise violating the civil
rights of WIC participants.
(g)
Price fixing of WIC authorized foods and/or infant formulas.
(h) Altering WIC food instruments for
fraudulent or unlawful purposes.
(i) Providing valuable consideration other
than WIC authorized foods or formulas, in exchange for WIC food instruments, or
negotiating WIC food instruments for cash, credit or non-food items.
(j) Submitting falsified WIC food price
information to the State WIC Office.
(k) Aiding or abetting WIC participants in
fraud or abuse of the program, or in the unlawful dealing in WIC food
instruments.
(l) Negotiating stolen
or counterfeit food instruments.
(m) Providing materially false or misleading
information in an application.
(n)
Failing to submit timely applications or re-applications.
(o) Otherwise committing fraud or abuse of
the WIC program.
(p) Criminal
conviction of fraud or abuse related to the WIC program or the Food Stamp
Program.
(q) If the Food Stamp
Program disqualifies a vendor, WIC shall disqualify the vendor for the same
length of time as the Food Stamp Program disqualification. (Disqualification
from the WIC program may also result in a vendor being disqualified from the
Food Stamp Program).
(r) If the
Food Stamp Program assesses a civil monetary penalty (CMP) to a vendor in lieu
of disqualification, WIC may disqualify for the length of time the vendor would
otherwise have been disqualified in the Food Stamp Program.
(s) Criminal conviction for trafficking in
food instruments or selling firearms, ammunition, explosives, or controlled
substances in exchange for food instruments.
(t) One incidence of buying or selling food
instruments for cash (trafficking); or one incidence of selling firearms,
ammunition, explosives, or controlled substances in exchange for food
instruments.
(u) One incidence of
the sale of alcohol or alcoholic beverages or tobacco products in exchange for
food instruments.
(v) A pattern of
claiming reimbursement for the sale of an amount of a specific supplemental
food item which exceeds the stores documented inventory of that supplemental
food item for a specific period of time.
(w) A pattern of charging participants more
for supplemental food than non-WIC customers or charging participants more than
the current shelf or contract price.
(x) A pattern of receiving, transacting
and/or redeeming food instruments outside of authorized channels, including the
use of an unauthorized vendor and/or unauthorized person.
(y) A pattern of charging for supplemental
food not received by the participant.
(z) A pattern of providing credit or non-food
items, other than alcohol, alcoholic beverages, tobacco products, cash,
firearms, ammunition, explosives or controlled substances in exchange for food
instruments.
(aa) A pattern of
providing unauthorized food items in exchange for food instruments, including
charging for supplemental foods provided in excess of those listed on the food
instrument.
(2) Denial
of redemption of WIC food instruments. Grounds for denial of redemptions of a
vendor include, but are not limited to, the following:
(a) Repeated failure to use the WIC vendor
stamp on WIC food instruments before bank deposit.
(b) Accepting WIC food instruments with
non-matching participant signatures.
(c) Failing to obtain participant counter
signatures on WIC food instruments at the time of redemption.
(d) Accepting pre-signed WIC food
instruments.
(e) Accepting altered
WIC food instruments.
(f) Accepting
WIC food instruments before valid issue date.
(g) Accepting WIC food instruments after the
30 day time limit for redemption.
(h) Depositing WIC food instruments after the
90 day time limit for deposit.
(i)
Forwarding food instruments to the State WIC Office for replacement after their
expiration date.
(j) Failing to
promptly notify the State WIC Office of a missing vendor stamp if such loss
results in the submission of unauthorized food instruments for
redemption.
(k) Food instruments
forwarded by anyone other than an authorized vendor for an authorized vendor
location to the State WIC Office for redemption.
(3) Vendor Suspension. Grounds for vendor
suspension from the program include, but are not limited to, the following:
(a) Providing outdated authorized foods
and/or infant formulas to WIC customers.
(b) Failing to maintain the minimum stock and
variety requirements of authorized foods and/or infant formulas.
(c) Failing to submit or failing to timely
submit vendor and food or infant formula price information as required or
requested by the State WIC Office.
(d) Failing to furnish WIC participants with
itemized receipts at the time of purchase.
(e) Requiring WIC participants to countersign
WIC food instruments prior to entering the dollar purchase amount on the food
instruments.
(f) Providing a
"raincheck," or otherwise allowing a WIC participant to make more than one
transaction with a single food instrument.
(g) Redeeming WIC food instruments for
greater quantities of authorized foods and/or infant formulas than those
specified on the food instruments.
(h) Accepting or soliciting payment from WIC
participants for dollar amounts that exceed actual authorized costs of foods
and/or infant formulas.
(i)
Accepting or soliciting payment from WIC participants for dollar amounts that
exceed the maximum redemption value specified on the food
instruments.
(j) Soliciting payment
from WIC participants for food instruments which the State WIC Office has
refused to redeem or has otherwise dishonored.
(k) Failing to enter the redemption date on
WIC food instruments.
(l) Entering
an incorrect redemption date on WIC food instruments.
(m) Duplicating a vendor stamp.
(n) Providing false or misleading information
in an application.
(o) Failing to
display prices on shelves, coolers or foods and formulas.
(p) Engaging in participant
discrimination.
(q) Failing to
report participant fraud or abuse of the WIC program.
(r) Failing to maintain competitive
prices.
(s) Failing to maintain
required information in files or on display.
(t) Failing to appear for mandatory training
without good cause.
(u) Violation
of health, safety or sanitation codes.
(v) Failing to produce requested records in a
timely manner.
(4)
Miscellaneous provisions.
(a) Program fraud or
abuse/unlawful dealing in WIC food instruments. The State WIC Office may share
findings of its investigation and monitoring activities with law enforcement,
Food Stamp program authorities, or other WIC authorities, if it suspects fraud
or abuse of the WIC Program, unlawful dealing in WIC food instruments, or if
Food Stamp Program violations have occurred; and will cooperate fully with such
authorities in their investigation.
(b) Combination of offenses. Nothing in these
regulations shall preclude the State WIC Office from charging a vendor with
multiple offenses, or from simultaneously imposing sanctions for offenses in
different categories, subject to the limitations imposed by sub-section A of
7.31.2.21 NMAC and sub-section B of 7.31.2.22 NMAC below.
(c) Repeated violations. The State WIC Office
may impose sanctions up to and including vendor disqualification for violations
which would not of themselves constitute grounds for disqualification, but
which recur after opportunity to cure and warnings have been provided to the
vendor. The State WIC Office may also impose lesser sanctions, such as
suspension from the program, denial or redemption of food instruments, or
denial of replacement of food instruments for repeated instances of vendor
non-compliance with program requirements.
(d) Civil penalties. The State WIC Office may
demand reimbursement from a vendor for offenses which result in overcharges to
the program, and may otherwise avail itself of all civil remedies available
under New Mexico and federal law.