INTEGRATED FRAUD DETECTION (IFD) DATA MATCH California Department of Social Services Guide To: 1.

Slides:



Advertisements
Similar presentations
The Supplemental Nutrition Assistance Program (SNAP)
Advertisements

Joanne R. Gasparini Director, Payment and Recovery Policy Staff Office of Financial Policy and Operations June 2, 2005 Administrative Wage Garnishment.
CHAPTER © 2012 The McGraw-Hill Companies, Inc. All rights reserved. 11 Medicaid.
 Training Overview 1. Assembly Bills 1494 and 1468 provide for the transition of children from Healthy Families Program (HFP) to the California Medi-Cal.
Previous Next Beginning End 1 Medi-Cal Redesign Stakeholders Meeting.
G Personal Finance G  Almost 31% of an individual’s paycheck is deducted  Taxes are the largest expense most individuals will have 
Taxes & Spending Payroll Deductions 4.01 – Explain taxes on income.
ADDICTIONS AND MENTAL HEALTH DIVISION Adult New Investment Quarterly Reports Wendy Chavez, MPA April 23, 2014 Developed By: Wendy Chavez, MPA Adult New.
1 Senior Community Service Employment Program (SCSEP) Data Validation Training California Department of Aging January 12, 2010.
AHCCCS Arizona Health Care Cost Containment System
Appendix on Payroll Accounting
EXPRESS LANE ENROLLMENT PRESENTED BY 1. Express Lane Enrollment Overview Pursuant to federal provisions, individuals eligible for CalFresh can use this.
LESSON 13-3 REPORTING WITHHOLDING AND PAYROLL TAXES.
May 6, 2013 CWDA Webinar 1.  Our Vision  Our Role  Implementation Support  Regional Seminars 2.
WCLP Governor Brown’s Health and Human Services Budget For: EOPS CARE March 9, 2011.
Payroll Accounting, Taxes, and Reports
Payroll Accounting, Taxes, and Reports
Copyright © 2008 Delmar Learning. All rights reserved. Chapter 18 Financial Management of the Medical Practice.
State of Minnesota Office of the Legislative Auditor _____________________________________ Department of Human Services Oversight of MNsure Eligibility.
H OW T O R ENEW Y OUR C ERTIFIED N URSE A SSISTANT ( CNA ) H OME H EALTH A IDE ( HHA ) C ERTIFICATE.
10-1. Unit 10 State Payroll Taxes and Reports McGraw-Hill/Irwin Copyright © 2006 The McGraw-Hill Companies, Inc. All rights reserved.
INTERNAL REVENUE SERVICE (IRS) California Department of Social Services Guide To: 1.
Child Support Services Date. Purpose Child Support Services exists to establish and enforce court orders for paternity, child support and medical support.
CENTURY 21 ACCOUNTING © Thomson/South-Western LESSON 14-1 Recording A Payroll.
House Committee on Business and Industry House Bill Implementation of Closed Account Notification System Texas Department of Banking April 22, 2008.
LESSON 13-1 Payroll Accounting, Taxes, and Reports
G1 © Family Economics & Financial Education – Revised November 2004 – Paychecks and Taxes Unit – Understanding Your Paycheck and Tax Forms Funded.
ECERT Electronic Certification of Effort and Reporting Tool Presented by Donna Smith and OPAFS.
Getting in the Act? The State of State Implementation of Health Care Reform Virginia’s Experiences Using Technology to Streamline Enrollment Rebecca Mendoza,
Medicaid Allowable Expenditure Report- MAER Amy Kanter, SBS Auditor Michigan Department of Health and Human Services 2015 MDHHS SBS Conference – Traverse.
FNS-209, THE STATUS OF CLAIMS AGAINST HOUSEHOLDS.
FINANCIAL MANAGEMENT GUIDE © Marin Management, Inc Payroll Guide, 7342 Federal Form 941, Employer’s Quarterly Federal Tax Return A. The Purpose.
The California Health Benefit Exchange: Design Options HBEX Board Meeting Tuesday, September 27, 2011.
Chapter 5 Work Laws & Responsibilities. Employment Laws Enacted by Congress Enforced by the U.S. Department of Labor Protects workers from: ▫Discrimination.
National Association of Student Financial Aid Administrators Presents… Resolving Eligibility Issues from Database Matches Jeff Baker Ida Mondragón.
Office of Fiscal Services Bureau of County Finance & Technical Assistance Cash on Hand Monitoring July – September 2008.
Public Behavioral Health Policy and Fiscal Updates California Institute for Mental Health (CiMH) Behavioral Health Financial Managers' Fiscal Leadership.
G1 © Family Economics & Financial Education – Revised March 2008 – Paychecks and Taxes Unit – Understanding Your Paycheck Funded by a grant from.
1 SOCIAL SECURITY BENEFITS FOR PERSONS WITH DISABILITIES Amy C. O’Hara, Esq. Littman Krooks LLP
© 2015 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.
Introduction to the Tribal Child Support Enforcement Program.
PAYMENT VERIFICATION SYSTEM (PVS) California Department of Social Services Guide To: 1.
Medicaid County Billing Florida Association of Counties Annual Conference June 23, 2011.
W-4 Form Used to determine the amount of income tax withheld from paychecks “Dependents” – Someone who lives with you – Provide for over 50% of their living.
A Social Innovator for Healthcare, Economic Security, and Personal Dignity. Update on Medicare for Youth & Adults with Disabilities Health & Disability.
CALIFORNIA YOUTH AUTHORITY (CYA)/ WELFARE INSTITUTION MATCH (WIM) California Department of Social Services Guide To: 1.
BENEFICIARY EARNINGS EXCHANGE RECORD (BEER) California Department of Social Services Guide To: 1.
April 2013 Presented by: Ed Kiryczun Health Care Reform.
Medical Coding & Insurance Unit 8 Seminar. CMS Centers for Medicare and Medicaid Services (CMS) Centers for Medicare and Medicaid Services (CMS) Purpose:
Virginia Department of Corrections Medicaid Offender Inpatient Hospital Program Myra Smith, DOC Healthcare Reimbursement Specialist October 1, 2015.
Medicaid Buy-In Elizabeth Gregowicz Department of Assistive and Rehabilitative Services Medicaid Infrastructure Grant Administrator.
Reporting & Performance Quarterly Performance Reports  Narrative  Performance  Financial.
SSA and Child Support -- What’s the Connection Ellery Brown Ann Ziff Dee Price-Sanders 2.
Tax Forms & Deductions. Net Income vs. Gross Income Gross income is the total amount a worker is paid before any required or voluntary deductions are.
CENTURY 21 ACCOUNTING © 2009 South-Western, Cengage Learning Accounting April 23, 2015 Chapter 13-3 & 13-4 notes 13-3 & 13-4 WT & OYO 13-3 & 13-4 Application.
1 HIPAA’s Impact on Depository Financial Institutions 2 nd National Medical Banking Institute Rick Morrison, CEO Remettra, Inc.
Employer Child Support Compliance 101
Direct Certification Welcome to the Direct Certification Self-Pace training. Direct Certification Training v
Butte County Department of Employment and Social Services
Understanding Your Paycheck and Tax Forms
Understanding Your Paycheck and Tax Forms
Fraud and the Community College.
Understanding Your Paycheck and Tax Forms
courses/are306 Unit 2 How to Find the Law? courses/are306.
In Home Supportive Services (IHSS)
Paychecks Advanced The Essentials to Take Charge of Your Finances
Presentation transcript:

INTEGRATED FRAUD DETECTION (IFD) DATA MATCH California Department of Social Services Guide To: 1

History: Public Law required states to establish an income and eligibility verification system for CalFresh and CalWORKs. Title 45 of the Code of Federal Regulations (CFR), Part required states to check wages and income every three months. 2

Data Sources: Employment Development Department (EDD) Social Security Administration (SSA) Counties and Consortia Department of Health Care Services (DHCS) 3

Criteria: 1.Wage Match - Recipient information is compared to employer- reported wage data from EDD. 2. Duplicate Aid Match - CDSS compares data between SSA and what the recipient reported to check if a recipient is collecting CalFresh and/or CalWORKs while collecting Social Security/State Supplementary Program Income. - Records are flagged during the quarter. 4

Tolerance Level : CalWORKs and CalFresh is $1,000 or greater Medi-Cal is $5,000 or greater 5 The consortia will only receive cases which show that the difference between the quarterly wages reported to EDD and those reported by the county exceed a specified level.

Frequency : The match is sent quarterly, on January, April, July, and October. 6

Method : Secure File Transfer Protocol (SFTP) server 7

Age of Data : 7 – 9 months old 8

Mandates: Public Law CFR DAYS DUE 9

Questions? Comments? us! 10