predictive analytics for program integrity child care administration

14
Predictive Analytics For Program Integrity Child Care Administration APHSA – ISM Conference October 8, 2013

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Page 1: Predictive Analytics For Program Integrity Child Care Administration

Predictive AnalyticsFor

Program Integrity

Child Care Administration

APHSA – ISM Conference

October 8, 2013

Page 2: Predictive Analytics For Program Integrity Child Care Administration

Who Are We ?

Mindy KraussSystems/IT Manager

Child Care Administration

Arizona Dept. of Economic Security

Devon PollardLead Information Tech. Specialist

Child Care Administration

Arizona Dept. of Economic Security

Page 3: Predictive Analytics For Program Integrity Child Care Administration

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

Page 4: Predictive Analytics For Program Integrity Child Care Administration

Arizona Child Care Automated Tracking System

(AzCCATS)

Stone and Chisel to Paper and PenASSISTS(Legacy System) Received from Utah – 1989Coded in Natural and DB2, launched for use in 1991Child Protective Services and Child Care Administration

both used this new system1996 CPS split off into their own Front End systemAt same time, ASSISTS became the AzCCATS

Page 5: Predictive Analytics For Program Integrity Child Care Administration

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

Page 6: Predictive Analytics For Program Integrity Child Care Administration

Types of Reports

Regularly Scheduled

Forecasting

Client Beneficial

Monitored Risks

Potential Monetary Reimbursements

Potential Fraud

Page 7: Predictive Analytics For Program Integrity Child Care Administration

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

Page 8: Predictive Analytics For Program Integrity Child Care Administration

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

Page 9: Predictive Analytics For Program Integrity Child Care Administration

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

Page 10: Predictive Analytics For Program Integrity Child Care Administration

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

Page 11: Predictive Analytics For Program Integrity Child Care Administration

Monitored Risks

Fingerprint Report

Informs what providers have fingerprint cards which are about to expire

Page 12: Predictive Analytics For Program Integrity Child Care Administration

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

Page 13: Predictive Analytics For Program Integrity Child Care Administration

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

Page 14: Predictive Analytics For Program Integrity Child Care Administration

Questions and Answers

Thank You !!