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DEPARTMENTOFHEALTH&
HUMAN
SERVICES
Office
0(
the
Secrelary
Wasllington,D.C.20201
CaseNo.2006-0425RE
Apri130,20IO
Linda
L.
Shelton.PhD..M.D.4020W.1OSthStreet,3N
Oak
Lawn,Illinois60453DearDr.Shelton:Thisis
in
responsetoyourApril6,2006,FreedomofInformationAct
(FOrA)
requestfor
theapplications
and
re-certifications
oftheIllinois
Medicaid
FraudControl
Unit
issuedtotheIllinois
State
PoliceMedicaidFraudControlUnitfrom2000through
2006.
TheOfficeoftheInspectorGeneral(DIG)performeda
search
andlocated256
pages
ofrecordsresponsive
to
yourrequest,ofwhich248areenclosed.Ihavedetermined
towithholdeight(8)ofthelocated
pages,in
their
entirety,includingthree(3)pagesof
pre-decisionalmaterial
under
FOJA
exemption
5,
three
(3)pagescontaining
informationthatcouldidentifyindividualsunder
fOIA
exemptions6and7(C),two
(2)
pagesdetailingtypesofinvestigationsandhowtheinvestigationswereconductedunder
FOIA
exemption
7(E);and,
portions
ofthereleasedpages
under
FOl
A
exemptions6,7(C)and7(E).Exemption5
permits
thewithholdingof
intra-agency
recordswhicharepredecisionalandcontainstaffadvice,opinionandrecommendation.Thisexemptionisintendedtopreservefreeandcandidinternaldialogueleadingtodecision-making.Exemption6permitsthewithholdingofinformationthat
if
releasedwouldconstituteaclearlyunwarrantedinvasionofpersonalprivacy.Exemption7(C)permitsthewithholdingofrecordscompiledfor
law
enforcementpurposeswhendisclosurecouldconstituteanunwarranted
invasionof
personal
privacy.Exemption7(E)
permitsthewithholdingofrecordscompiledforlawenforcementpurposeswhendisclosurewoulddisclosetechniquesandproceduresforlawenforcementinvestigations
or
prosecutions.orwoulddiscloseguidelinesforlawenforcementinvestigationsorprosecutions
if
suchdisclosurecouldreasonablybeexpectedtoriskcircumventionofthelaw.Therearenachargesfor
FOTA
services,inthisinstance,becausethefeesareunder
OUf
$25.00billing
threshold.
 
(./~.'DEPARTMENTOFHEALTH"
HUMAN
SERVICES
,<:::z~'-
OWell
ot
InspectorGeneral
'lIIast1illgloll,
DC.
20201
AUG-92001
DonThorpe.DirectorIllinoisStatePoliceMed'caidFraudControlUnit400IslePark
Place,
Suite
302
Springfield.llHnois
62118
DearMr,Thorpe:
Aspartoftherecertificationprocess,wehavereviewed
documentation
submitted
by
your
office
includingtheUnit'sAnnualReport,thequarterly
statistical
reports,andthe
responsestothe
Questionnaire
previouslyforwardedtoyou.Also
reviewed
werethe
responses
to
thequestionnairessubmittedtotheOfficeofInspectorGenera',ChicagoFieldOfficeandtheIllinoisDepartmentofPublicAid,OfficeofInspectorGeneral.TheinformationprovidedreflectsthattheUnit'sactivitie.sduringthelasttwelvemonthcertification
period
havebeendirectedtowardscombatingfraudandabusecommittedagainsttheState'sMedicaidprogram.TheUnithasfulfilledthestatutoryrequirementofsections1903(a}(6);1903(b)(3);and1903(1)oftheSocialSecurityAct.asamended
by
theMedicare-MedicaidAnti-FraudandAbuseAmendrnents
(P.L
95-142)andsection336oftheOmnibusBudgetRecondliationActof1980,(P.l.96-499).
TheIllinois
Unitis
certified
asmeetingtheFederalrequirementsapplicableto
the
operationofaStateMedicaidFraudControlUnit(42CFR,Part1007).Thecertificationperiodcoversoneyear,endingJune30,2002,Inorder
for
Federalfinancialparticipationtocontinueafterthatdate,an
application
forrecertificationshouldbesubmittedforreviewtotheStateMedicaidOversightandPolicyStaff(SMOPS)nolaterthanApril30,2002.Ifyouhaveanyquestionsconcerningthisrecertification,pleasecontactDorothyJames,ProgramAnalyst,SMOPS,
at
(202)619~2547.Sincerelyyours,
,
~-···~~;~'.;;/;'~:)i.·.
)-.l__.
Fran~
Nahlik/
ASSj~i;~t1nspector
General
fOI'
InvestigativeOversightandSupport
 
(
r
t.
,f.'
ILLINOISSTATEPOLICE
Of/ie..
4
tk
Diml(lr
C
orge
H.Ryan
GI1"~f'7ZIJ"
SamW.Nolen
D£nCl<>r
July26,2001
Mr.
JosepbPrekkerDirector,StateMedicaidOversightand
Policy
Staff
U.S.DepartmentofHealtb
and
Huma.n
ServicesOfficeofJospector
General
330IndependenceAvenueS.W.
Room545I.
Cohen
BuildingWashington,D.C.
20201
.I
Dear
Mr.Prekker.
.Bnclosedyou
WIll
find
theann\lalreport
for
theIllinoisMedicaidFraudControl
Unit
Thisreportwas
preparedusing
the
rolesandregulations
of
section1903(a)(6),
1903(q)
oftheSocialSecurityAct,axamendedby
the
Medicare-MedicaidAnti-FraudandAbuse
Amcndments
andasrequiredby42'CFRlOOO.lthrough23.
The
IllinoisStatePolicehopes
that
tlrisrepoTt
wJ1l
complete.alln:quiredsubmissionsforrecertificationof
the
DlixloisMedicaidFraudControl
Unit
for
the.
period
July
1,2001throughJ\\Ile30,2002.Respectfully.
SamW.Nolen
Director
~~
By:
Don
ThOlJ)t
Director
MedicaidFraudControlUnIt
DT:Jg
!25
Ea.t
Moo,,,,,Room103P.O.
Box
J!>46!
Sprill~:f,eld,!L62794·9461
(2m
782·7263(voice)
J
(BOO)255·5323(1'001
of 00

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cont: The reason they want to discredit me is because I and several other whistle blowers have hard evidence of corruption of several judges, police and AG Madigan herself. The FBI has been informed and has done NOTHING!

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