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Enhancing Ohio Benefit Payment Control: Best Practices & Tools

Explore successful methods, tools, and benchmarks for improving benefit payment control integrity in Ohio. Learn about fraud detection techniques, cool tools like RightFax and AWARE, and how to sharpen existing tools to reduce duration and increase detection rates. Contact Mickey Ford for more information.

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Enhancing Ohio Benefit Payment Control: Best Practices & Tools

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  1. Ohio Benefit Payment ControlIntegrity Methods, Tools, and Best Practices.Mickey FordSection Chief, Office of UC, BPC Phone – (614) 466-0153 E-mail – MickeyFord@jfs.ohio.gov

  2. Successes • In 2005, Ohio’s average UI fraud duration was 12 weeks. • 8 weeks for New Hires. • In 2010, our average duration is 10 weeks. • 6 weeks for New Hires.

  3. Methods • Prioritization of continued week issues • Quick detection • NDNH • State Employee Crossmatch • Tips and leads • Quick assignment • E-mail, scanning, network • Quick investigation • Phone calls, e-mails • Quick determination - Minimizes duration

  4. Cool Tools • RightFax • AWARE for Benefits • State Employee Crossmatch • Promote fraud reporting • 800-686-1555 • ucbenprotest@jfs.ohio.gov • Web Powered Agent (fraud report management) • UC-IT (auto adjudication)

  5. Sharpened Tools • Revisit common procedures • Organizational flexibility • Support and staffing

  6. Benchmarks • Reduced duration • X number of weeks • Increased detection • Wider net • Increased established overpayments • 74% detection rate (SQSP) • $32 million in 2009

  7. Ohio Benefit Payment ControlIntegrity Methods, Tools, and Best Practices.Mickey FordSection Chief, Office of UC, BPC Phone – (614) 466-0153 E-mail – MickeyFord@jfs.ohio.gov

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