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State Survey Analysis Report

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Sources of Improper Payments

10.  (a) Please rank the following sources of improper payments (1 to 7) for the program in your State over the past two fiscal years, beginning with one (1) indicating the primary source of improper payments. Error is defined as an inadvertent mistake whereas fraud is defined as a willful misrepresentation. (Please rank each source below)

Exhibit 10(a) presents cumulative totals showing 24 State agencies’ ranking of four sources of improper payments: Client, provider, State agency, and local agency, both for improper payments due to error or fraud. One State (OK) did not answer this question. Individual State agencies responses are detailed in Appendix 10(a).

Regarding sources of improper payments due to error, fifteen State agencies rank providers as the “first” or “second” source of error, and eleven State agencies rank clients as the “first” or “second” source of error. Six State agencies rank local agency as the “first” or “second” source of error.

For sources of improper payments due to fraud, seven State agencies rank clients as the “first” or “second” source.  Five State agencies rank providers as the “first” or “second” source of improper payments due to fraud.

Exhibit 10(a). Sources of Improper Payments

  Sources of Improper Payments    
Rank Error Fraud Other Number of
State Agencies
Client Provider State
Agency
Local Agency Client Provider State
Agency
Local Agency
1 8 6 0 4 2 2 0 0 0 22
2 3 9 0 2 5 3 0 0 0 22
3 6 2 4 3 5 2 0 0 1 22
4 0 3 4 1 3 5 0 1 0 17
5 3 0 1 6 2 3 1 0 0 16
6 0 0 6 1 2 1 1 1 0 12
7 0 0 0 0 0 0 3 4 0 7
                     
Those that did
not provide an answer:
                   
Oklahoma                    

Exhibit 10(b-1). Regulated vs. Unregulated Providers >>