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AGENDA

NCCCSIA Webinar # 2 Conducting the Error Rate Review Process using the Revised Data Collection Instructions (DCI). AGENDA. Improper Payment focus Calculating an improper payment error State Improper Payments Report (ACF-404) Corrective Action Plan (ACF-405).

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AGENDA

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  1. NCCCSIA Webinar #2Conducting the Error Rate Review Process using the Revised Data Collection Instructions (DCI)

  2. AGENDA • Improper Payment focus • Calculating an improper payment error • State Improper Payments Report (ACF-404) • Corrective Action Plan (ACF-405)

  3. REASON FOR Change to payments • Authorizations not accurate proxy for payments • Authorizations 20 percent higher than actual payments • Changes allow States to assess amount of eligibility error based on the actual payments

  4. Improper Authorization Error

  5. Improper Payment Error

  6. HOW TO CALCULATE AN IP ERROR • Overpayments (DCI p. 22) • Underpayments (DCI p. 23) • Case Errors with no Improper Payment (DCI p. 24) • Underpayment errors that are partial month payment amounts (DCI pp. 33 and 47)

  7. KEY DEFINITIONS • Subsidy Amount— The monthly amount the State will pay for the child’s subsidy and is frequently referred to as the certificate or voucher amount. • Sample Month Payment Amount—The amount paid for services received in the sample month. The Sample Month Payment Amount may be equal to the Subsidy Amount (a full payment) or may be less (a partial payment) due to such things as attendance, center closures, school schedules, etc. Glossary Pg. 33, Data Collection Instructions

  8. Example 1: No Payment Error The worker ‘s subsidy amount was correct. There is no improper payment error in this case. O NA NA $0 There is no difference in the subsidy amounts $225

  9. Example 2: overPayment error The reviewer’s subsidy amount is $200 while the sample month payment amount was $250. The result is a $50 overpayment. 1 N O $50 $250 Section VII, Pg. 22, Data Collection Instructions

  10. Example 3: overPayment error The reviewer’s subsidy amount is $200 while the sample month payment amount was $275. The result is a $75 overpayment. 1 N O $75 $275

  11. Example 4: Case error - no improper Payment The reviewer’s subsidy amount is $250 while the sample month payment amount was $200. There is no improper payment as the sample month payment was less than the reviewer’s amount. 1 N NA $0 $200 Section VII, Pg. 24, Data Collection Instructions

  12. Example 5: underpayment Error The reviewer’s subsidy amount is $175 while the sample month payment amount was $150. The result is a $25 underpayment. 1 N U $25 $150 Section VII, Pg. 23, Data Collection Instructions

  13. Example 6: PARTIAL MONTH PAYMENT underpaymentS The reviewer’s subsidy amount was $400 while the sample month payment amount was $150. 1 N U As sample month payment was a partial month payment contact the RO to receive approval of a prorated amount $150

  14. ACF–404 PART II - ERROR MEASURES REPORTING • Number of cases sampled • Total number of cases with an error • Percentage of cases with an error • Total number of cases with an improper payment • Percentage of cases with an improper payment • Total number of cases with an improper payment due to missing or insufficient documentation • Percentage of cases with an improper payment due to missing or insufficient documentation • Total amount of payments for the sampled cases • Total amount of improper payments for review period (gross amount of underpayments and overpayments) • Total amount of underpayments for review period • Total amount of overpayments for review period • Percentage of the total amount of payments for the sampled cases that are improper payments • Average amount of improper payments • Estimated annual amount of improper payments Section VIII, Pg. 28, Data Collection Instructions

  15. ACF–404 PART IIIQuestion 18B What is the amount of improper payments the State recovered as a result of the previous review? Section VIII, Pg. 30, Data Collection Instructions

  16. Corrective Action Plan (ACF-405) A Lead Agency with an error rate that exceeds 10 percent must submit: • A corrective action plan within 60 days of the June 30 submission of the State Improper Payments Report (ACF-404) • Subsequent reports describing progress in implementing the plan Section II, Pg. 3, Data Collection Instructions

  17. Corrective Action Plan (ACF-405) • The corrective action plan must include: • Current error rate (Percentage of IP) • Identification of a senior accountable official • Actions and milestones to be undertaken to reduce improper payments with names of those responsible • Timeline for completion of each action • Timeline for reducing the error rate below 10 percent • Targets for future improper payments Section II, Pg. 3, Data Collection Instructions

  18. Corrective Action Plan (ACF-405) • Progress reports must be submitted as requested by the Assistant Secretary • Failure to carry out actions described in the approved corrective action plan will be grounds for a penalty or sanction under § 98.92 Section II, Pg. 3, Data Collection Instructions

  19. CONTACT National Center on Child Care Subsidy Innovation and Accountability • NCCCSIA@wrma.com • 301-881-2590 x273 To view the archived recording of this presentation, visit: https://www1.gotomeeting.com/register/413213169 The recording will be available until May 12, 2014.

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