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Playing the Numbers. Success from Persistence. Getting to PARIS. Placing Penny Bets How Much to Open Shutout The Big NO The Why (Not) Going for the Action. Iowa Hold ‘ Em Smart Money Ace in the Hole The Parlay Come on Baby!. Placing Penny Bets.
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Playing the Numbers Success from Persistence
Getting to PARIS • Placing Penny Bets • How Much to Open • Shutout • The Big NO • The Why (Not) • Going for the Action • Iowa Hold ‘Em • Smart Money • Ace in the Hole • The Parlay • Come on Baby!
Placing Penny Bets • 1997 participated in a small pilot for TANF • 53 matches – none of them an Iowa claim • Cumbersome data manipulation • Deemed cost/benefit loss • Lost the penny toss
How Much to Open 2005 • PARIS Board visit – calls - emails • National Directory of New Hires • Labor intensive – negative results • Expensive data • Negatively impacted desire for PARIS
SHUTOUT • 2006 – Developed a proposal for one of the PARIS implementation grants • Limited internal support • Some technical assistance • Got to the window too late
The BIG NO • PARIS Board visit • DC Iowa office questions • Washington State (Bill) questions • Extensive report in response to Dept Inspections and Appeals and Governor’s office
The Why (Not) • Quality Control error rates • Known to Agency • Confidentiality • Jockeying for IT position • Waiting on technology • Lack of resources to work the data
Going for the Action 2009 Breakthrough! • MOU signed for Interstate and VA • Interstate data pilot 2010 Charter and Study Group! CMS Directors Letter
Iowa Hold ‘Em • Manual data review • Inability to act on data • Folded on new VA MOU • Minimum required effort • Responding only to other States • Cumbersome PARIS “Hotline”
Smart Money • Data wise guy • Triple state matches • Double SNAP matches • SNAP out of state usage
Ace in the Hole • Let the data do the talking • Investigators on board • Wisconsin data exchange • Articulating the Dream • Again and again and again…….
The Parlay • It’s ALL about Program Integrity • Integrated Claims Unit • VA interest • Support grows
Come On and Make My Day • Getting the funding • Design event • Building the Unit • Implementation