Presentation on theme: "1. 2 Training Objectives To increase awareness of CICF as a resource for victims of crime To assist allied professionals in understanding how the Fund."— Presentation transcript:
2 Training Objectives To increase awareness of CICF as a resource for victims of crime To assist allied professionals in understanding how the Fund works and how our offices can work collaboratively to assist victims To increase the number of eligible victims receiving assistance from to the Fund
3 Virginia Legislative Intent for Compensation for Victims of Crime § Findings; legislative intent. The General Assembly finds that many innocent persons suffer personal physical injury or death as a result of criminal acts or in their efforts to prevent crime or apprehend persons committing or attempting to commit crimes. Such persons or their dependents may thereby suffer disability, incur financial hardships or become dependent upon public assistance. The General Assembly finds and determines that there is a need for governmental financial assistance for such victims of crime. Therefore, it is the intent of the General Assembly that aid, care and support be provided by the Commonwealth as a matter of moral responsibility for such victims of crime.
4 What is the Criminal Injuries Compensation Fund? (CICF) All 50 states, D.C. and several countries have crime victim compensation programs Established in 1977 by the Virginia General Assembly Administered by the Virginia Workers Compensation Commission, an independent judicial state agency Payer of last resort
Persons eligible for awards. The following persons shall be eligible for awards pursuant to this chapter unless the award would directly and unjustly benefit the person who is criminally responsible: 1. A victim of a crime or the parent or guardian of a minor who is the victim of a crime. 2. A surviving spouse, parent, grandparent, sibling or child, including posthumous children, of a victim of a crime who died as a direct result of such crime. 3. Any person, except a law-enforcement officer engaged in the performance of his duties, who is injured or killed while trying to prevent a crime or an attempted crime from occurring in his presence, or trying to apprehend a person who had committed a crime in his presence or had, in fact, committed a felony. 4. A surviving spouse, parent, grandparent, sibling or child, including posthumous children, of any person who dies as a direct result of trying to prevent a crime or attempted crime from occurring in his presence, or trying to apprehend a person who had committed a crime in his presence or had, in fact, committed a felony. 5. Any other person legally dependent for his principal support upon a victim of crime who dies as a result of such crime, or legally dependent for his principal support upon any person who dies as a direct result of trying to prevent a crime or an attempted crime from occurring in his presence or trying to apprehend a person who had committed a crime in his presence or had, in fact, committed a felony. B. A person who is criminally responsible for the crime upon which a claim is based, or an accomplice or accessory of such person, shall not be eligible to receive an award with respect to such claim. C. A resident of Virginia who is the victim of a crime occurring outside Virginia and any other person as defined in subsection A who is injured as a result of a crime occurring outside Virginia shall be eligible for an award pursuant to this chapter if (i) the person would be eligible for benefits had the crime occurred in Virginia and (ii) the state, country or territory in which the crime occurred does not have a crime victims' compensation program deemed eligible pursuant to the provisions of the federal Victims of Crime Act and does not compensate nonresidents.
6 Filing and Eligibility MUST BE AN INNOCENT VICTIM CRIME MUST OCCUR IN VIRGINIA (unless a Virginia resident is in a country/territory without a Crime Victim Fund) The person must have suffered a physical injury as the result of a crime or an emotional injury as the result of a VIOLENT FELONY. Automobile-related crimes are not eligible with the exception of DUI- related cases or intentional use of a vehicle as a weapon Eligible victim/claimant: Direct victim (18 or older), parent/guardian of a minor victim, legal guardian of incapacitated victim, surviving family members or person who has paid for funeral/burial Crime must be reported within 120 hours to police (unless good cause) Claim must be filed with CICF within a year of the crime (unless good cause) VICTIM MUST BE COOPERATIVE WITH ALL INVESTIGATION and PROSECUTION EFFORTS
7 To Pay or NOT to Pay… Intoxicated victim is asked to leave the bar where he has been drinking. His friend is escorting him back to the car so they can leave. Two other patrons of the bar start mocking the victim. Words are exchanged. The two patrons approach the victim and a fight ensues. Does CICF deny the claim for contribution, pay the claim, or grant a reduced award?
8 MORE FUND FACTS Takes in between 1700 and 2000 claims per year Pays out an average of $3 million annually 4 Claims examiners for Commonwealth
9 Benefits Available Medical Expenses Dental Expenses Mental Health Expenses Funeral Expenses (up to $5000) Crime Scene Clean-up Counseling for homicide survivors (up to $2500) Mileage Reimbursement Wage Loss Reasonable & Necessary Up to $25,000 available for crimes occurring 7/01/07 or after Up to $15,000 for crimes occurring prior
10 Additional Available Benefits Domestic Violence Loss of Support 2/3 of the offenders weekly wage (up to a max of $600/week) for up to 3 months Also applies to victims of child sexual assault Offender must have a legal obligation to provide support (couple is married or have a child in common) Victim must have protective order in place Victim must be able to provide proof of the offenders income Additional Benefits Moving Expenses (up to $1000) Temporary Lodging (up to 21 days, reimbursement-based)
11 Collateral Resources Health Insurance Health Insurance Social Security Social Security Life Insurance Life Insurance Medicare/ Medicare/ Medicaid Medicaid State and Local Hospitalization (SLH) Short Term Disability Short Term Disability Automobile Insurance Automobile Insurance Civil Litigation Civil Litigation RESTITUTION RESTITUTION
12 To Pay or Not to Pay… A woman was bound and gagged in the trunk of her boyfriends car. He pulls up to an ATM and she frees herself from the trunk and runs into the first place she can…an American Family Fitness Center. She runs in and the Manager hides her behind the desk. The boyfriend walks in with a gun and threatens to kill anyone if they leave. He then turns the gun on himself and kills himself. The women in the fitness center all want counseling…are they eligible?
13 Negotiated Rates for Medical Services When CICF reviews a claim, before payment is rendered CICF will negotiate the provider to accept a reduced rate as payment in full without balance billing the victim (Typically 80%)
14 CICF Does Not Cover... Property loss Attorney fees Pain and suffering Interest Missed appointments Hit & run and other auto-related crimes (with the exception of DUI or vehicle as weapon)
15 How Does a Victim Apply to CICF? Police/Sheriff Victim Witness On-line application (www.cicf.state.va.us) Commonwealths Attorneys Office Probation/Community Corrections Domestic Violence Shelter Medical Providers
Law Enforcements Statutory Obligation § Public information program. The Commission shall establish and conduct a public information program to assure extensive and continuing publicity and public awareness of the provisions of this chapter. The public information program shall include brochures, posters and public service advertisements for television, radio and print media for dissemination to the public of information regarding the right to compensation for innocent victims of crime, including information on the right to file a claim, the scope of coverage, and the procedures to be utilized incident thereto. Whenever a crime which directly resulted in personal physical injury to, or death of, an individual is reported within the time required by § , the law-enforcement agency to which the report is made shall make reasonable efforts, where practicable, to notify the victim or other potential claimant in writing on forms prepared by the Commission of his or her possible right to file a claim under this chapter. In any event, no liability or cause of action shall arise from the failure to so notify a victim of crime or other potential claimant.
17 How is a decision made on what benefits a victim shall receive Victim completes the application and submits to CICF Victim completes the application and submits to CICF Thorough investigation by claims examiners to determine that all $ requests are related directly to the crime Thorough investigation by claims examiners to determine that all $ requests are related directly to the crime Thorough investigation by examiners to determine if any collateral resources exist like insurance, social security benefits, Medicaid, etc. Thorough investigation by examiners to determine if any collateral resources exist like insurance, social security benefits, Medicaid, etc. A claim gets processed more quickly when all agencies are able to work together. A claim gets processed more quickly when all agencies are able to work together.
18 § Powers and duties of Commission 2. Notwithstanding the provisions of § , to acquire from the attorneys for the Commonwealth, State Police, local police departments, sheriffs' departments, and the Chief Medical Examiner such investigative results, information and data as will enable the Commission to determine if, in fact, a crime was committed or attempted, and the extent, if any, to which the victim or claimant was responsible for his own injury. These data shall include prior adult arrest records and juvenile court disposition records of the offender. For such purposes and in accordance with § , the Commission may also acquire from the juvenile and domestic relations district courts a copy of the order of disposition relating to the crime. The use of any information received by the Commission pursuant to this subdivision shall be limited to carrying out the purposes set forth in this section, and this information shall be confidential and shall not be disseminated further. The agency from which the information is requested may submit original reports, portions thereof, summaries, or such other configurations of information as will comply with the requirements of this section.
19 NO COLLECTIONS!!! § :2 of the VA Code prohibits healthcare providers from pursuing debt collection activities against CICF claimants until an award decision has been made: For the purpose of this section, "debt collection activities" means repeatedly calling or writing to the claimant and threatening either to turn the matter over to a debt collection agency or to an attorney for collection, enforcement or filing of other process. The term shall not include routine billing or inquiries about the status of the claim.
20 To Pay or Not to Pay… A Virginia couple is hit by an intoxicated driver while driving through D.C. –the wife sustained no injuries, but the husband sustained moderate injuries. The offender does not have car insurance. The offender pled guilty to reckless driving. The judge ordered the offender to pay the husbands medical bills. Should the husband apply to CICF? Should the wife apply to CICF?
21 HOW CICF IS FUNDED? NO TAX DOLLARS COURT FEES COURT ORDERED RESITUTION VOCA GRANT CREATIVE FUND RAISING
22 Requesting Restitution on CICFs behalf § (D) of VA Code states: Upon awarding a claim pursuant to this chapter, the Commission shall promptly notify the attorney for the Commonwealth of the jurisdiction wherein the crime is alleged to have occurred. If a criminal prosecution occurs regarding the same alleged crime, the attorney for the Commonwealth shall request the court to order restitution.
23 Important Points about Restitution The Fund will seek restitution from an offender who is convicted of a crime upon which a CICF claim is based (even if it is not court-ordered) CICF intercepts lottery winnings and state tax refunds and issues monthly bills to offenders Victims should be made aware that the Fund will actively pursue collection efforts against convicted offenders. Victims must then make their own decisions with regard to their personal safety.
24 To Pay or Not to Pay… An innocent victim of a malicious wounding has $30,000 in medical bills and $5,000 in property damage, as well as $2,000 in lost wages. CICF pays out the max of $25,000. Restitution is ordered to the victim in the amount of $37, The defendant begins making payments. You are monitoring the restitution payments. What do you do with the money?
25 Unclaimed Restitution § (F) of the Code of Virginia states, in part: If restitution is ordered to be paid by the defendant to the victim of a crime and the victim can no longer be located or identified, the clerk shall deposit any such restitution collected to the Criminal Injuries Compensation Fund for the benefit of crime victims…before making the deposit he shall record the name, last known address, and amount of restitution due each victim.
26 THE ROLE OF LAW ENFORCEMENT To inform potentially eligible victims about the Fund per To respond to CICF requests for police reports and investigative information in a timely manner per (2) To complete the Brown Form, particularly sections regarding the victims potential responsibility for injuries incurred and cooperation with law enforcement CICF is an administrative process, your opinion along with hearsay evidence are allowable! Your opinion is important to us!
27 TIPS Please call us if you have a difficult case and are unsure of eligibility or benefits available Please call ASAP if a victim or claimant is not returning your calls, being evasive, etc. Please call if victims refuse to appear in court The Fund can do pre-authorizations for things like emergency medical procedures, etc. In order to do so, a police report is mandatory Per Commission ruling, the Fund cannot make a determination on any claim without a Police Report Please call if you need tear-off sheets, brochures, additional training, etc.
28 Victims who wish to appeal a CICF decision If a claim is denied, the claimant has the right to appeal within 45 days of the date of the denial letter. Upon receipt of an appeal, the Director will reinvestigate the claim. If the Fund cannot reverse its original determination, the case will go to a hearing. (The lead investigator will be subpoenaed to testify at this hearing.) Hearings are held in or near the locality where the crime occurred. The Commission will then determine the compensability of the claim.
29 Contacting the Ombudsman or call Potential situations for the ombudsman Collections issues To request subpoenas (non-responsive medical providers/employers/law enforcement) Explanation of the appeals process after claim has been denied
30 Contacting Us For status checks on a claim please contact us by at: For other questions or inquiries, please call: