playing the numbers

Playing the Numbers

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Success from Persistence

Getting to PARIS

• Placing Penny Bets• How Much to Open• Shutout• The Big NO• The Why (Not)• Going for the Action

• Iowa Hold ‘Em• Smart Money• Ace in the Hole• The Parlay• Come on Baby!

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Placing Penny Bets

• 1997 participated in a small pilot for TANF– 53 matches – none of them an Iowa claim– Cumbersome data manipulation

• Deemed cost/benefit loss• Lost the penny toss

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How Much to Open

2005 • PARIS Board visit – calls - emails• National Directory of New Hires

– Labor intensive – negative results– Expensive data– Negatively impacted desire for PARIS

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SHUTOUT

• 2006 – Developed a proposal for one of the PARIS implementation grants

• Limited internal support• Some technical assistance• Got to the window too late

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The BIG NO

• PARIS Board visit• DC Iowa office questions• Washington State (Bill) questions• Extensive report in response to Dept

Inspections and Appeals and Governor’s office

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The Big NO!!

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The Why (Not)

• Quality Control error rates• Known to Agency• Confidentiality• Jockeying for IT position• Waiting on technology• Lack of resources to work the data

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Going for the Action2009 Breakthrough!

– MOU signed for Interstate and VA– Interstate data pilot

2010 Charter and Study Group!CMS Directors Letter

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Iowa Hold ‘Em

• Manual data review• Inability to act on data• Folded on new VA MOU• Minimum required effort• Responding only to other States• Cumbersome PARIS “Hotline”

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Smart Money

• Data wise guy • Triple state matches• Double SNAP matches • SNAP out of state usage

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Ace in the Hole

• Let the data do the talking• Investigators on board• Wisconsin data exchange• Articulating the Dream

– Again and again and again…….

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The Parlay

• It’s ALL about Program Integrity• Integrated Claims Unit• VA interest• Support grows

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Come On and Make My Day

• Getting the funding• Design event• Building the Unit• Implementation

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State Matches

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Data Submitted

SSN Submitte

d Matches

2 + Other States

30 Day Delay

MatchesMay-09 494,612 2836 2604Aug-09 511,958 4142 30 3089Nov-10 527,284 3816 34 975Feb-10 541,444 4318 33 3710

May-10 557,161 3545 32 2947Aug-10 563,092 4812 31 4797Nov-10 581,967 4486 41 3636Feb-11 584,702 4486 36 4247

May-11 598,613 4338 30 3413Aug-11 600,175 5818 33 4470Nov-11 612,631 0 0 0

Thank You!Linda Mount

lmount@dhs.state.ia.us515-281-5487

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