State Survey Analysis Report
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APPENDIX 12. 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?
Extent: 5 = Great, 4 = Moderate, 3 = Little, 2 = None, 1 = Don't Know
24 State agencies responded to Question 12 |
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| State | Related to clients | Related to providers | |||||||
|---|---|---|---|---|---|---|---|---|---|
| Nonreporting/ underreporting of income | Client receiving payment in more than one jurisdiction | Incorrect reporting of household size | Incorrect citizenship or immigration status | Incorrect information on client's compliance with program requirements | Other | Overstating performance | Claiming for services not rendered | Other | |
| Alabama | 5 | 1 | 4 | 2 | 5 | 5 | |||
| Arizona | 4 | 2 | 4 | 3 | 4 | 2 | 4 | 5 | 5 |
| California (DSS)* | |||||||||
| Connecticut | 4 | 2 | 4 | 3 | 4 | 4 | 3 | 4 | 4 |
| District of Columbia | 4 | 1 | 2 | 1 | 5 | 4 | |||
| Georgia | 4 | 3 | 3 | 3 | 4 | 4 | 4 | 3 | |
| Kansas | 4 | 2 | 3 | 2 | 3 | 2 | 3 | ||
| Kentucky | 4 | 2 | 4 | 2 | 2 | 1 | 3 | ||
| Maryland | 4 | 2 | 4 | 2 | 3 | 2 | 3 | ||
| Massachusetts | 5 | 3 | 5 | 2 | 4 | 4 | 5 | 3 | 5 |
| Minnesota | 4 | 3 | 2 | 4 | 4 | 1 | 4 | ||
| Mississippi | 3 | 4 | 1 | 2 | 5 | 5 | 4 | ||
| Missouri | 4 | 3 | 3 | 1 | 4 | 1 | 5 | ||
| Montana | 4 | 2 | 3 | 2 | 4 | 3 | 4 | ||
| Nebraska | 5 | 2 | 4 | 2 | 5 | 5 | 4 | 4 | |
| New Hampshire | 3 | 2 | 3 | 2 | 4 | 3 | 4 | ||
| North Carolina | 5 | 3 | 4 | 3 | 3 | 5 | 1 | 4 | 4 |
| Ohio | 5 | 3 | 5 | 3 | 5 | 4 | 5 | 5 | |
| Oklahoma | 4 | 2 | 3 | 2 | 3 | 4 | 4 | ||
| Puerto Rico | 5 | 4 | 5 | 1 | 1 | 1 | |||
| Utah | 5 | 2 | 3 | 3 | 5 | 2 | 4 | ||
| Washington* | |||||||||
| West Virginia | 4 | 2 | 5 | 2 | 5 | 4 | |||
| Wisconsin | 5 | 2 | 5 | 2 | 5 | 5 | 5 | ||
| Total: | 22 | 22 | 22 | 21 | 22 | 4 | 19 | 21 | 8 |
| Average: | 4.27 | 2.36 | 3.59 | 2.29 | 3.95 | 3.75 | 2.95 | 3.90 | 4.25 |
| Those that did not provide an answer: | |||||||||
| California (DE) | |||||||||
* State did not collect data
7 States specified their response for Question 12 |
||
| States | Other factor contributing to improper payments | |
|---|---|---|
| Related to clients | Related to providers | |
| Arizona | Providing false verification of income/employments/ eligible activity | Calculation Errors Providing False Claims |
| Connecticut | Employment Termination Unreported, Bogus unregulated provider, Self-employments schemes | Identity Theft |
| District of Columbia | ||
| Georgia | Providing services with no valid certificate | |
| Massachusetts | Fraud, creating documentation | Failure to collect the proper documentation |
| Nebraska | billing errors | |
| North Carolina | Client failure to report employment terminations | Provider failure to notify agency of improper payments |
| Ohio | Providing services for which the family was not eligible and then billing for those services. | |
Appendix 13 >>