State Survey Analysis Report
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Contributing Factors to Improper Payments
12. To what extent, if any, have the following factors contributed to improper payments in your State over the past two fiscal years?
Twenty-two State agencies rate the extent to which eight client or provider related factors contribute to improper payments[8] (AL, AZ, CT, DC, GA, KS, KY, MD, MA, MN, MO, MS, MT, NE, NH, NC, OH, OK, PR, UT, WI, WV). Six factors (a – g)[9] relate to clients; 3 factors (h –j) relate to providers. Individual State rankings of these factors are displayed in Appendix 12.
A majority of State agencies most frequently rate the following four factors as contributing a great or moderate extent to improper payments over the past two fiscal years:
- Twenty State agencies rate factor (a) client nonreporting/underreporting of income, as contributing a great or moderate extent to improper payments (AL, AZ, CT, DC, GA, KS, KY, MD, MA, MN, MO, MT, NE, NC, OH, OK, PR, UT, WI, WV).
- Twelve State agenciesrate factor (d) client incorrect reporting of household size, as contributing a great or moderate extent to improper payments (AL, AZ, CT, KY, MD, MA, NE, NC, OH, PR, WI, WV).
- Sixteen State agencies rank factor (f) incorrect information on client’s compliance with program requirements, as contributing a great or moderate extent to improper payments (AL, AZ, CT, DC, GA, MA, MN, MO, MS, MT, NE, NC, OH, UT, WI, WV).
- Sixteen State agencies rate factor (i) provider claiming for services not rendered, as contributing a great or moderate extent to improper payments (AL, AZ, CT, GA, MN, MS, MO, MT, NE, NH, NC, OH, OK, UT, WI, WV).
Only 2 or fewer State agencies rate the remaining client factors as contributing a great or moderate extent to improper payments: (b) client receiving payment in more than one jurisdiction, (e) incorrect citizenship or immigration status and (g) other client contributing factors. Four or fewer State agencies rate the remaining provider factors as contributing a great or moderate extent to improper payments: (h) provider overstating performance, and (j) other provider contributing factors.
Exhibit 12 presents cumulative responses of the 22 State agencies that rank these factors.
Exhibit 12. Factors Contributing to Improper Payments(View Bar Graph.) |
||
| Factors | Total States | |
|---|---|---|
| Related to Providers | Most Extent | Moderate Extent |
| a. Nonreporting/ underreporting of income | AL, MA, NE, NC, OH, PR, UT, WI | AZ, CT, DC, GA, KA, KY, MD, MN, MO, MT, OK, WV |
| b. Client receiving payment in more than one jurisdiction | MS, PR, | |
| c. Incorrect reporting of household size | MA, OH, PR, WV, WI | AL, AZ, CT, KY, MD, NE, NC |
| d. Incorrect citizenship or immigration status | MN, | |
| e. Incorrect information on client's compliance with program requirements | AL, DC, MS, NE, OH, UT, WV, WI | AZ, CT, GA, MA, MN, MO, MT, NH |
| f. Other | NC, | CT, MA, |
| Related to Providers | Most Extent | Moderate Extent |
| g. Overstating performance | MA, MS, NE, WI | AZ, GA, OH, OK |
| h. Claiming for services not rendered | AL, AZ, MO, OH, WI | CT, GA, MN, MS, MT, NE, NH, NC, OK, UT, WV |
| i. Other | AZ, MA, OH, | CT, DC, NE, NC, |
(Note: item “c” was not included in the survey)
[8] The States used a 5-point scale to rate the extent to which eight factors contribute to improper payments (anchor points of: a great extent, a moderate extent, little extent, no extent, and don’t know).
[9] Note: there is no item “c” in the response options.