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APHSA – ISM Conference October 8, 2013

APHSA – ISM Conference October 8, 2013. Predictive Analytics For Program Integrity Child Care Administration. Who Are We ? Mindy Krauss Systems/IT Manager Child Care Administration Arizona Dept. of Economic Security Devon Pollard Lead Information Tech. Specialist

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APHSA – ISM Conference October 8, 2013

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  1. APHSA – ISM ConferenceOctober 8, 2013 Predictive AnalyticsForProgram Integrity Child Care Administration

  2. Who Are We ? • Mindy Krauss Systems/IT Manager Child Care Administration Arizona Dept. of Economic Security • Devon Pollard Lead Information Tech. Specialist Child Care Administration Arizona Dept. of Economic Security

  3. Overview of Presentation • AzCCATS History • From ASSISTS to AzCCATS • Data Gathering for Reports • Reports through system • Einstein Data Warehouse • Areas of Reporting • Regularly Scheduled Reports • Forecasting • Client Beneficial • Monitored Risk • Potential: • Monetary Reimbursement • Fraud • Questions and Answers

  4. Arizona Child Care Automated Tracking System (AzCCATS) • Stone and Chisel to Paper and Pen • ASSISTS(Legacy System) Received from Utah – 1989 • Coded in Natural and DB2, launched for use in 1991 • Child Protective Services and Child Care Administration both used this new system • 1996 CPS split off into their own Front End system • At same time, ASSISTS became the AzCCATS

  5. Data Gathering for Reports • Data available through: • Reports in the AzCCATS • Generated through system scheduled jobs • ADHOC region updated Weekly • Data Warehouse • Repository of Data from various systems • Retrieved using Microsoft ACCESS • Data Warehouse updated Monday – Friday • Daily/Weekly/Monthly/Semi-Annual/Annual • Regulary Scheduled (120+) • Upon Request from Management

  6. Types of Reports • Regularly Scheduled • Forecasting • Client Beneficial • Monitored Risks • Potential Monetary Reimbursements • Potential Fraud

  7. Regular Scheduled Reports AS003 -Workload by Case Manager Caseload Listing – Upcoming Reviews Due AS200 - Month End Reports Productivity Report - Authorization Counts Intakes – Type of Program – What is carried Forward CP100 - Timeliness Registration and Determination PR50 - Provider Inactivity, No Pay/No Auth Active providers with no current auths or payments

  8. Forecasting Reports Priority Waiting List (PWL) Who we can help if we had funding to provide services Global Information System (GIS) Allows forecasting for recruitment and need based on # of clients and providers per zip code

  9. Client Beneficial Priority Waiting List (PL) should be on Transitional Child Care (TCC) or TANF Employment Child Care Assistance (EA) Cross match our Clients with AZTECS Open TANF = Potential EA Closed TANF = Potential TCC TCC with open TANF Client has Potential EA eligibility, a program with no Co-pays

  10. Potential Monetary Reimbursements IV-E Report - Completed on quarterly basis - Care needed must be based on Work - Children in our CPS Child Care Category - Potential recoupment of over 1 million dollars monthly

  11. Monitored Risks Fingerprint Report Informs what providers have fingerprint cards which are about to expire

  12. Potential Fraud UI Match - Cross Match All clients to UI Data - Receiving Child Care but are Unemployed - UI and CCA both validate inconsistencies Red Flag Reports - Paid per Capacity - Amount Paid - Number of Children

  13. Red Flag Reports Paid per Capacity - What is capacity? - Are they consistently paid for full capacity? LC Amount Paid - Provider Payment Range - Top 10 Consistently in defined range Number of Children - How many children paid per month Certified Group Home – Average 5 kids paid per month Certified Home – Average 2 kids per month

  14. Questions and Answers Thank You !!

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