Phase II Findings: Error Rate Methodology Pilot
Executive Summary, I. Introduction, II. Methodology, III. Measuring Improper Payments in Nine States, IV. Findings and Next Steps, V. Recommendations, Appendices: Appendix A: Arkansas, Appendix B: Colorado, Appendix C: Illinois, Appendix D: Ohio, Appendix E: Record Review Worksheet, Appendix F: Data Entry Form, Appendix G: Telephone Discussion Guide, Appendix H: Arizona, Appendix I: California, Appendix J: Kansas, Appendix K: Nebraska, Appendix L: New Hampshire
Section IV: Findings and Next Steps
This chapter reviews findings from the record review process and error rate analysis for the four pilot States—Arkansas, Illinois, and Ohio, and Colorado. The review of findings for each State includes a brief description of the record review process followed by a presentation of the error rate findings. The findings include six measures computed for each State as follows:
- Percentage of Cases with a Potential Error—This percentage is based on the number of sampled cases with an administrative error divided by the total number of valid cases in the sample.
- Percentage of Cases with a Potential Improper Payment—This percentage is based on the number of sampled cases with an administrative error that resulted in an improper payment divided by the total number of valid cases in the sample.
- Percentage of Payments Potentially Made in Error—This percentage is based on the total amount of child care payments that were made in error divided by the total amount of child care payments for the sample.
- Average Amount of Potential Improper Payment—The average dollars spent in error per ineligible child is the total amount of child care payments that were made in error divided by the number of cases that had an administrative error.
- Minimum and Maximum Amounts of Potential Improper Payments—The minimum and maximum amounts constitute the range within which the average amount of improper payment falls.
Following the discussion of the error rate findings for each State, the chapter outlines next steps taken by each of the pilot States following participation in the pilot project. Colorado extended its review process to include two additional phases of investigating client and provider error by verifying external data sources. The findings from the additional analyses are reviewed.
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