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Reducing Improper Payments UI Integrity Conference April 20 th, 2010 1.

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Presentation on theme: "Reducing Improper Payments UI Integrity Conference April 20 th, 2010 1."— Presentation transcript:

1 Reducing Improper Payments UI Integrity Conference April 20 th, 2010 1

2 Agenda Introduction of the Executive Order – Components of the Executive Order – Stakeholder roles and responsibilities – Executive Order milestones Guidance – Guidance overview – Major questions addressed in guidance – Sections that states may be interested in Work Groups – Description of work groups and issue areas – Role of states and state agencies Next Steps Questions and resources 2

3 Collaboration Strengthening partnerships between Federal, State, and local governments and agencies. has been established to gather best practices to improve program integrity. 3

4 Improper Payments Overview Landscape Payment errors have been steadily increasing since 2004 when Federal agencies first began measuring and reporting payment errors. The increase is the result of: More programs measuring error More thorough measurement methodologies Increases in total Federal outlays Statistics FY 2009 improper payments are approximately ~$100 billion Represent ~$30 billion increase versus FY 2008, driven primarily by more stringent measurement and increased expenditures Approximately 90% of the errors are in 12 of the 72 programs measured (6 agencies) The Medicare, Medicaid, EITC and Unemployment Insurance programs each have over $10 billion in improper payments The President issued Executive Order #13520, Reducing Improper Payments on November 20, 2009. 4

5 Components of the Executive Order Transparency “High-priority” programs designated (programs with largest amount of error) More frequent measurement and reporting Improper payment dashboard High dollar errors/fraud Assessment of performance versus planned targets Publicly available Central website for reporting waste, fraud, and abuse Agency Accountability Accountable Senate- confirmed appointees for high-priority programs Inspector generals review: Error payments over certain thresh-hold amounts Measurement plans and reduction targets Agency forensic auditing pursued Required sharing of eligibility information among programs and agencies Quarterly reporting of high-dollar improper payments Incentives for Compliance Financial incentives for States to build better systems to identify and reduce errors State audits to focus on error reduction versus compliance Contractors charged damages for improperly invoicing the government 5

6 Identify high-priority programs Issue government-wide E.O. guidance Establish annual or semi-annual program performance targets Establish working groups OMB Publish Improper Payments dashboard Publish website for reporting Improper Payments Recommend actions to the President to reduce improper payments by improving information sharing Treasury Monitor agency progress and advise Controller on key issues and decisions Submit a report on high-dollar improper payments and planned actions Provide IG with report on measurement methodology and plans for meeting reduction targets Accountable Official Consult the working groups, on measurements, single audits, incentives and accountability Consult Treasury on the internet dashboard and waste, fraud, and abuse website; and for recommendations on improving information sharing Consult CFOC on internal controls recommendations CIGIE Consult Treasury/OMB on actions designed to reduce improper payments by improving information sharing Consult CFOC on recommendations to agencies about new internal control techniques Consult Treasury with legal issues associated with website data sharing DOJ Stakeholders 6

7 Executive Order Milestones 12/18/092/18/105/19/10 Publish dashboard Submit recommendations on: –Improving measurements –Strengthening internal control measures –Improving information sharing –Enhancing contractor accountability –Shifting focus of single audits to improper payments –Improving incentives and accountability Agency submits first quarterly report on high-dollar improper payments Agency provides IG with report on error methodology and plans for meeting targets Issue government-wide guidance to agencies Establish annual or semi-annual reduction targets Establish working groups 7

8 Guidance Overview OMB issued implementing guidance for Executive Order 13520 - March 22, 2010 The guidance is: – Drafted in a “Question and Answer” format – Separated into several sections: General questions Improper payments reporting Reporting deliverables 8

9 Major Questions Addressed in Guidance Although many questions are addressed in the guidance, the highlights include instructions on: Specifying responsibilities for agency accountable officials; Determining the programs subject to the EO (i.e., high- priority programs); Defining supplemental measures and targets for high- priority programs; Establishing reporting requirements under the EO; and Establishing procedures to identify entities with outstanding improper payments. 9

10 Guidance Sections of Interest to State UI Officials A few sections that may interest State UI community include: – Measures of access requirements; – More frequent “supplemental measures”; and – Posting additional information on the web. 10

11 Work Groups Work Group (Section of E.O)Deliverables Issue Guidance --2(a)(iii)IP Guidance in OMB A-123 App. C Improve Measures of Access - 2(a)(iv)Dashboard for program access and measurement Publish Dashboard on Website - 2(b) & 2(c)IP Website Refine Measurements to Focus on High- Dollar or High-Risk Errors - 3(d) Forensic tools to measure & detect IP Improve Information Sharing - 3(e)Sources and ways to share payments info Enhance Contractor Accountability - 4(a)Contractors –causes & remedies for IP Shift Focus of Single Audits to Improper Payments - 4(b) Modifications to SA process for effectiveness Explore Incentives for State and Local Governments - 4(c) Administrative actions through OMB Circulars and program guidance 11

12 Work Group Collaboration Interagency work groups: – Being lead by agency representatives; – Sharing best practices from different agencies and programs; and – Bridging “silos” State involvement in several work groups, including: – Measuring program access; – Improving data sharing; – Single audit requirements; and – Incentives for state and local governments 12

13 Next Steps 5/19 Work groups to issue recommendations 5/19 Website launch Which recommendations will be pursued? Payment Recapture Audits 13

14 Questions and Resources Joe Pika: or OMB’s improper payments website with EO, guidance, and other materials: 14

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