Ohio Benefit Payment Control Integrity Methods Tools and
Ohio Benefit Payment Control Integrity Methods, Tools, and Best Practices. Mickey Ford Section Chief, Office of UC, BPC Phone – (614) 466 -0153 E-mail – Mickey. Ford@jfs. ohio. gov
Successes • In 2005, Ohio’s average UI fraud duration was 12 weeks. – 8 weeks for New Hires. • In 2010, our average duration is 10 weeks. – 6 weeks for New Hires.
Methods • Prioritization of continued week issues • Quick detection – NDNH – State Employee Crossmatch – Tips and leads • Quick assignment – E-mail, scanning, network • Quick investigation – Phone calls, e-mails • Quick determination - Minimizes duration
Cool Tools • • Right. Fax AWARE for Benefits State Employee Crossmatch Promote fraud reporting – 800 -686 -1555 – ucbenprotest@jfs. ohio. gov • Web Powered Agent (fraud report management) • UC-IT (auto adjudication)
Sharpened Tools • Revisit common procedures • Organizational flexibility • Support and staffing
Benchmarks • Reduced duration – X number of weeks • Increased detection – Wider net • Increased established overpayments – 74% detection rate (SQSP) – $32 million in 2009
Ohio Benefit Payment Control Integrity Methods, Tools, and Best Practices. Mickey Ford Section Chief, Office of UC, BPC Phone – (614) 466 -0153 E-mail – Mickey. Ford@jfs. ohio. gov
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