1. Birth Registration Fraud Risks Steve Elkins State Registrar April 30, 2010

2. A Series of Risky Situations that might occur at your facility

3. How Do You Know Who You Are Delivering?

4. Admitted Under Another’s Name  Insurance Fraud  Informal Adoption  Problems for NBS, Immunization, local public health follow-up, insurance, medical records (not associated with right person)

5. Married/Not Married  Insurance Fraud  Medicaid Fraud  Subverting Minnesota Marriage Laws  Should You Ask for a Marriage Certificate?

6. Paternity  Multiple ROPs  ROP with not the biological father (insurance fraud, social stigma, informal adoption)  Refusal to complete ROP (MFAR, Child support)

7. Registration for Infant Not Born in Minnesota  US Citizenship  Multiple Registrations for benefits  “Informal” Adoption or Sale of Infant

8. Hospital Complimentary BC  If Accepted – Not accurate, not legal, easy to forge  If Rejected - “Upset” Parents or Registrant leading to delay  MR&C Commemoration – An accuracy check, labeled as not a legal birth certificate, customizable to facility

9. Reporting Problems Asking for Assistance  Facility Administration  Local Law Enforcement  State Vital Records Fraud Prevention Coordinator – Brenda Shinaul Brenda.Shinaul@state.mn.us 651-201-5959 Brenda.Shinaul@state.mn.us

10. Questions?