APHSA – ISM Conference October 8, 2013

Predictive AnalyticsFor

Program Integrity

Child Care Administration

APHSA – ISM Conference

October 8, 2013

Who Are We ?

Mindy KraussSystems/IT Manager Child Care AdministrationArizona Dept. of Economic Security

Devon PollardLead Information Tech. SpecialistChild Care AdministrationArizona Dept. of Economic Security

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

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

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

Types of Reports

Regularly Scheduled

Forecasting

Client Beneficial

Monitored Risks

Potential Monetary Reimbursements

Potential Fraud

Regular Scheduled Reports

AS003 -Workload by Case ManagerCaseload Listing – Upcoming Reviews Due

AS200 -Month End ReportsProductivity Report - Authorization Counts Intakes – Type of Program – What is carried Forward

CP100 -TimelinessRegistration and Determination

PR50 - Provider Inactivity, No Pay/No AuthActive providers with no current auths or payments

Forecasting Reports

Priority Waiting List (PWL)Who we can help if we had funding to

provide servicesGlobal Information System (GIS)

Allows forecasting for recruitment and need based on # of clients and providers per zip code

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 AZTECSOpen TANF = Potential EAClosed TANF = Potential TCC

TCC with open TANFClient has Potential EA eligibility, a program with no Co-pays

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

Monitored Risks

Fingerprint ReportInforms what providers have

fingerprint cards which are about to expire

Potential Fraud

UI Match- Cross Match All clients to UI Data- Receiving Child Care but are

Unemployed- UI and CCA both validate

inconsistenciesRed Flag Reports

- Paid per Capacity- Amount Paid- Number of Children

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 rangeNumber of Children- How many children paid per monthCertified Group Home –Average 5 kids paid per monthCertified Home – Average 2 kids per month

Questions and Answers

Thank You !!