1. Eliminating The Mystery Behind Quality Control October 2008 MFWCAA Conference

2. Why Do We Need Quality Control? Payment accuracy Payment accuracy Timeliness Timeliness Negatives Negatives To ensure program access and integrity To ensure program access and integrity

3. Federal Fiscal Year (FFY) The Federal Fiscal Year starts October 1 st and runs through September 30 th. The Federal Fiscal Year starts October 1 st and runs through September 30 th.

4. Who is QC? There are 9 QC reviewers. There are 9 QC reviewers. One person completes second party reviews of all correct cases. One person completes second party reviews of all correct cases. One person completes second party reviews of all error cases. One person completes second party reviews of all error cases. This person also handles all challenges, differences, and case assignments. This person also handles all challenges, differences, and case assignments.

5. MN QC Review Process Universe sample of all active MN cases with a food benefit – MFIP, FS, UH, and even GRH Universe sample of all active MN cases with a food benefit – MFIP, FS, UH, and even GRH Random sample of cases Random sample of cases 93 – 95 cases a month 93 – 95 cases a month

6. Case Assignment QC receives the sample on the 1 st working day or the 2 nd of the month – whichever is later. QC receives the sample on the 1 st working day or the 2 nd of the month – whichever is later.

7. QC performs an independent review of cases.

8. Do they ever talk to each other?

9. How Do I Find Out About The Status of My Case? Findings are compiled and issued via “snail” mail for most counties. Findings are compiled and issued via “snail” mail for most counties.

10. Findings What is the error? What is the error? Client or agency? Client or agency? How did QC discover the error? How did QC discover the error?

11. Challenge Process Counties are allowed 10 days to challenge QC findings Counties are allowed 10 days to challenge QC findings

12. Federal Reporting QC has 4 months to complete a case. QC has 4 months to complete a case. 90% deadline 90% deadline 100% deadline 100% deadline

13. Is State QC The Final Authority? Federal re-review of completed cases Federal re-review of completed cases Federal re-review of incomplete cases Federal re-review of incomplete cases

14. Negatives QC has two months to complete a review of negative actions. QC has two months to complete a review of negative actions. Most reviews completed using only MAXIS. Sample size is 70 – 80 cases a month

15. Timeliness Includes the review of application processing and expedited Includes the review of application processing and expedited

16. Tips from QC When in doubt, DOCUMENT, DOCUMENT, DOCUMENT! When in doubt, DOCUMENT, DOCUMENT, DOCUMENT! Send in policy questions! Send in policy questions!

17. We Continue to Need YOU!!!!!!!!!

18. Questions? Tracy K. O’Brien, PAC, PAID Tracy K. O’Brien, PAC, PAID Tracy.k.obrien@state.mn.us Tracy.k.obrien@state.mn.us Tracy.k.obrien@state.mn.us 651/431-3993 651/431-3993