To ensure that all counties consistently gauge the cost-effectiveness of their early fraud detection activities and ongoing investigation efforts for the CalWORKs and CalFresh programs, Social Services should develop a formula to regularly perform a cost-effectiveness analysis using information that the counties currently submit. Specifically, this formula should measure the savings that a county achieves for each dollar spent on antifraud efforts.
Due to 1) limited resources and Federal changes in reporting, 2) much more time being needed than originally estimated for the county cost code analysis, and 3) validating the current savings formula distributed in All County Information Notice (ACIN) I-81-09, the Anticipated Implementation Date has been changed from March 2017 to June 2019. CDSS will analyze the ongoing CalWORKs and CalFresh benefits and county administrative savings part of the cost-savings methodology to determine if and how the methodology should change. County cost codes also will be further evaluated to determine if they can be used in a cost-savings methodology or if changes are needed. This analysis should be complete by December 2018. If the analysis determines new savings assumptions should be used, CDSS will revise the methodology and disseminate to all counties via an ACIN by June 2019.
In 2017, CDSS implemented a change in the Department's reporting of fraud activities to meet the new requirements of its Federal partners. CDSS will be analyzing the newly required information, which includes hours spent on investigating, prosecuting, and conducting administrative hearings regarding potential fraud and the service dollars associated with these activities. CDSS will identify county cost codes along with its new data and convene a statewide workgroup by July 2018 to develop a formula to measure the savings that a county receives for the dollars spent in fraud detection and prevention. In addition, CDSS is decommissioning the Statewide Fingerprint Imaging System no later than June 30, 2018. The Department's future plans include use of a Knowledge Based Authentication (KBA) service to ensure the identity of people applying remotely for benefits. This service is expected to facilitate client applications while also streamlining administration of additional notes the CalFresh program will be evaluating the overpayment collection threshold during 2018.
CDSS will convene a work group no later than January 30, 2017, in order to improve the accuracy of county codes (CCs). The work group can improve the accuracy of CCs by developing a better definition for each one, ensure CCs address early fraud or ongoing fraud for one program, and develop new CCs for unrelated activities currently claimed with one CC. CDSS also intends to revisit the savings formula distributed in All County Information Notice (ACIN) I-81-09. If, based on the assessment of CDSS staff that the assumptions of time on aid and other parts of the savings formula have to change, then the new assumptions will be used and new savings formula will be shared with the counties through a new ACIN.
The California Department of Social Services (CDSS) is completing its assessment of cost data to determine if it is sufficient for inclusion in the cost savings methodology. The assessment includes a recommendation on how to use the cost data to update the cost savings methodology. The proposed revised methodology will be shared with stakeholders for review and comment and formally transmitted in an All County Letter (ACL). This process will take approximately three months.
CDSS gathered sample counties available cost data and is analyzing the data to determine if it is sufficient for inclusion in the cost savings methodology.
CDSS has selected sample counties whose available data will be reviewed to initiate the Departments' assessment.
Agency responses received are posted verbatim.