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Second Error Rate Pilot Report

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APPENDIX G. DATA ENTRY FORM

VARIABLE VALUE
State
County
Child ID
Study Period Month (October 2004)]
Date of data collection
One or more eligibility errors during pilot period]
0 =no errors, 1 = one or more errors
Cause of improper payment
0 =no errors, 1 = client, 2 = agency
Total amount of improper payments during review month
Total amount of payments during review month]

Appendix H. Error Rate Cost Analysis >>

June, 2007