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Second Error Rate Pilot Report

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Table of Contents

Executive Summary
I.  Introduction
  A. Background
  B. Objective of the Second Pilot
II.  Methodology
  A. Overview of the Process to Measure Improper Payments
  B. Fieldwork Preparation
  C. Generating the Sample
  D. Customizing Record Review Worksheets
  E. Site Visits
  F. Conducting Record Reviews
  G. Completing the Data Entry Form
  H. Computing Error Rates
  I. State Response Form
III. Measuring Improper Payments in Five States
  A. Improper Payments Process
  B. Standards, Processes, and Procedures
  C. Automation
IV. Findings and States' Responses
  A. Florida
     1. Results
     2. Florida Responses
  B. Kansas
     1. Results
     2. Kansas Responses
  C. New Jersey
     1. Results
     2. New Jersey Responses
  D. Oregon
     1. Results
     2. Oregon Responses
  E. West Virginia
     1. Results
     2. West Virginia Responses
  F. Conclusion
     1. Summary of Results
     2. Most Common Errors
     3. Interpretation of Missing Documentation Errors
     4. Coding of Missing Documentation Error Types
     5. Review Process and Missing Documentation Error
     6. Interpretation of Income Errors
     7. Coding of Income Error Types
     8. Interpretation of Hours of Care Errors
     9. Summary of State Responses
V. Cost Analysis
  A. Objectives of the Cost Analysis
  B. Conceptual Design
  C. Measuring the Costs to Conduct the Error Rate Pilot
  D. Cost Analysis Worksheet Development
  E. Preparation and Site Visit Costs
  F. Record Review Costs
     1. Four States in the First Pilot
     2. Five States in the Second Pilot
VI. Recommendations
  A. Management of the Error Rate Methodology Process
     1. State Project Team Formation and Responsibilities
  B. Provision of Instructions and Managing the Review Process
     1. State Review Team Selection and Training
     2. Instructions for Error Interpretation and Coding
     3. Record Review Site
  C. Use of the Instruments
     1. Record Review Worksheet Development and Use
     2. Data Entry Form
     3. Cost Analysis Form
     4. State Response Form
  D. Modifications to Improve Reliability across Future Pilot States
  E. Implications for ongoing Technical Assistance
Appendix A. Florida
  A. Organizational Structure
  B. Overview of the Child Care Eligibility Process
  C. Improper Payment Process
  D. Case Review Process
  E. Automation
  F. Next Steps
  Florida Site Visit Participants
Appendix B. Kansas
  A. Organizational Structure
  B. Overview of the Child Care Eligibility Process
  C. Improper Payment Process
  D. Case Reviews
  E. Automation
  F. Next Steps
  Kansas Site Visit Participants
Appendix C. New Jersey
  A. Organizational Structure
  B. Overview of the Child Care Eligibility Process
  C. Improper Payment Process
  D. Case Review Process
  E. Automation
  F. Next Steps
  New Jersey Site Visit Participants
Appendix D. Oregon
  A. Organizational Structure
  B. Overview of the Child Care Eligibility Process
  C. Improper Payment Process
  D. Case Reviews
  E. Automation
  F. Next Steps
  Oregon Site Visit Participants
Appendix E. West Virginia
  A. Organizational Structure
  B. Overview of the Child Care Eligibility Process
  C. Improper Payments
  D. Case Review Process
  E. Automation
  F. Next Steps
  West Virginia Site Visit Participants
Appendix F. Record Review Worksheet Template
Appendix G. Data Entry Form
Appendix H. Error Rate Cost Analysis
Appendix I. State Response Form
Appendix J. Site Visit Agenda
Appendix K. Summary Of Pilot Study States
   
List of Exhibits
  Exhibit 1. Florida Findings
  Exhibit 2. Kansas Findings
  Exhibit 3. New Jersey Findings
  Exhibit 4. Oregon Findings
  Exhibit 5. West Virginia Findings
  Exhibit 6. Summary of Findings
  Exhibit 7. Frequency of Elements in Error
  Exhibit 8. Dollar Amounts of Elements in Error
  Exhibit 9. Preparation, Training and Site Visit Costs for Nine Pilot States
  Exhibit 10. Cost of Record Review Process for Four States in the First Pilot
  Exhibit 11. Cost of Record Review Process for California
  Exhibit 12. Cost of Project Tasks for Five States in the Second Pilot
  Exhibit A-1. Florida Record Review Worksheet
  Exhibit B-1. Kansas Record Review Worksheet
  Exhibit C-1. New Jersey Record Review Worksheet
  Exhibit D-1. Oregon Record Review Worksheet
  Exhibit E-1. West Virginia Record Review Worksheet

Executive Summary >>

Prepared for:
Child Care Bureau
Office of Family Assistance
Administration for Children and Families
1250 Maryland Ave. SW, 8th Floor Washington, DC 20024

Under Contract Number 233-02-0093
Task Order Number 08

Prepared by:
Walter R. McDonald & Associates, Inc.
12300 Twinbrook Parkway, Suite 310
Rockville, MD 20852

June, 2007