§1403. Reports
Beginning in 2023, any agency that administers a program shall, no later than
February fifteenth of each year, submit a report to the legislature, providing, at a minimum,
the following information:
(1)For the current fiscal year, the total dollar amount and percentage of the agency's
budget for the program allocated for program integrity and eliminating fraud, waste, and
abuse.
(2)A description of the agency's current policies and practices that reduce fraud,
waste, and abuse of program benefits.
(3)For the preceding calendar year, the total number of individuals determined by
the agency or legislative auditor to have improperly received benefits through the program
and the total dollar amount of benefits improperly received.
(4)The type and amount of improper payments.
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§1403. Reports
Beginning in 2023, any agency that administers a program shall, no later than
February fifteenth of each year, submit a report to the legislature, providing, at a minimum,
the following information:
(1) For the current fiscal year, the total dollar amount and percentage of the agency's
budget for the program allocated for program integrity and eliminating fraud, waste, and
abuse.
(2) A description of the agency's current policies and practices that reduce fraud,
waste, and abuse of program benefits.
(3) For the preceding calendar year, the total number of individuals determined by
the agency or legislative auditor to have improperly received benefits through the program
and the total dollar amount of benefits improperly received.
(4) The type and amount of improper payments.
(5) The type and amount of any improper payments prevented, if known.
(6) The dollar amount the state saved in preventing improper payments, and if any,
in recouping improper payments.
(7) A description of all policies, processes, and procedures in place at the agency to
determine eligibility for the program. The description shall include details about what
information the agency verifies or cross-checks through databases and data exchanges with
other agencies, including national databases, and the frequency of that verification or
cross-checking.
(8) A description of all policies, processes, and procedures in place at the agency to
identify individuals receiving benefits under the program who are no longer eligible to
receive benefits and what steps, if any, are taken, and under what timeline, to remove
identified individuals from program participation.
(9) A detailed description of all policies, processes, and procedures in place at the
agency to verify federal or state work or work search requirements for benefit eligibility, if
applicable.
(10) The frequency with which the agency performs the verification.
(11) A description of any barriers the agency identifies to implementing additional
program integrity measures, including privacy or data sharing impediments, administrative
burden, and any increase in financial cost.
(12) A description of all metrics and data points used by the agency to measure
success of the program, including all metrics and data points related to program integrity and
fraud.
(13) For the preceding calendar year, measures of access in the program, including:
(a) For each month, the number of applications received, the percentage of
applications denied, and the percentage of applications denied for procedural reasons.
(b) Monthly call center performance metrics for call centers serving clients and
applicants, including the average number of calls and the average and maximum call wait
times.
(c) The average caseload per caseworker.
(14) A detailed description of the program's administrative appeals process for
clients, including but not limited to the number of hearings requested by clients and the
number of hearings waived by clients.