State Home Per Diem 2014 IPERIA Audit Status Update

1. State Home Per Diem 2014 IPERIA Audit Status Update • Improper Payment Elimination Recovery and Improvement Act (IPERIA) Requirements • Conduct high-risk program testing • Conduct statistically relevant audit • Determine error rate, category of errors and root causes of errors • Report audit findings in Progress Accountability Report (PAR)

2. IPERIA Requirements (con’t) • Identify recoverable improper payments • Collection target is 85% of total recoverable improper payments • Track corrected under payments • Track and report collected amount of overpayments • Develop Corrective Action Plans (CAPs) to reduce improper payment rate

3. 2014 State Home Per DiemIPERIA Audit – Completed Tasks • High Risk Testing of SH program. • Hire/train SH audit staff. • Audit Sample size of 463 identified from universe including all State Homes. • Supporting documentation (10-10 SH, 10-10EZ, eligibility documents) gathered from sites and consolidated on CBO share point site.

4. 2014 State Home Per Diem IPERIA Audit – In Progress • Audit in Progress – 37% completed • Weekly technical reviews held to discuss audit findings. • Review audit errors – identify payment errors and compliance errors. • Compliance errors are process errors that do not result in an improper payment.

5. 2014 State Home Per DiemIPERIA Audit – Next Steps • Complete State Home audit by EOM April. • Present audit findings at Audit Review Committee – May ‘14 • State Home Program Staff to determine Corrective Action Plans(CAP’s) to reduce improper payments – May ‘14 • Address CAP’s in PAR – June ‘14 • Monitor implementation of CAP’s/Collect improper payments – Sept/Oct ‘14