# Presentation: 537900

## There’s More Than One Right Way

- PARIS 2007 Conference

## What works?

- States and Territories choose to implement PARIS in different ways based on available resources, organizational structures, partnering agencies, politics etc.
- Pros and Cons to each way.
- What works in one state may not work in another state.

## Flexibility....

- Operations staff or Investigators
- County or State Administered
- Tools (reports and tracking)
- Systems (automation)

## Oregon’s Way....

- Where Oregon has been.
- Where Oregon intends to go.

## Oregon’s Way.... 1st Attempt

- First Attempt at working the Interstate and Veterans files – November, 2004.
- Rushed to act without sufficient research into best practices of other states.
- No massaging, filtering, screening of the output data, no staff allocated to verify and follow up on data; and inadequate systems in place for processing data, creating worker alerts, and monitoring follow-up.

## Oregon’s Way.... 1st Attempt

- Interstate File - Initial focus on identifying potential overpayments and  establishing claims based on non-Oregon residency or duplicate assistance.
- Verifying residency was very labor intensive due to frequent need for field investigations to confirm true residence.
- End result was over 70% clear rate with numerous losses in administrative hearings.

## Oregon’s Way.... In The Future?

- Interstate File – focus on true duplicate assistance cases (FS/FS , Medicaid/Medicaid) where the matched person is still open in the same benefit program in more than one state.  Cost avoidance / corrective action.
- Confirm benefits still open in both states and initiate closure/reduction actions unless, or until, client ensures benefits closed in the other state(s).
- Obtain copies of signed applications and benefit issuance history from other states and pursue 10 year IPV Disqualifications for FS on liable adults.
- Implement worker alerts and overpayment referrals when appropriate

## Oregon’s Way.... In The Future?

- Veterans File – Yet to be determined.  Significant resistance exists from Veterans Administration in Oregon in cooperating with efforts to cost shift.
- Federal File – Yet to be determined.

## Oklahoma’s Way....

- PARIS is run through the Oklahoma Department of Human Services Office of Inspector General (OIG).
- Programs are state administered.  OIG analyzes PARIS data and distributes relevant information to county offices for case correction.
- Discrepant cases in which fraud is suspected are assigned to OIG District Special Agents in Charge for investigation.

## Oklahoma’s Way....

- The PARIS return files are put into a delimited format by Data Services Division.
- OIG then imports the delimited file into Access and Excel databases (standard for Microsoft Office).
- Databases automatically populate forms created for analysis and tracking of data.
- Discrepant data and stats are tracked through Control Database (SQL software program).

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## Utah’s Way.....

- PARIS matches are processed by Eligibility Workers.
- When inbound files are received an alert is set in Eligibility System (PACMIS) at case level.
- Worker accesses eFind (data brokering system) to view details.
- Worker acts on information accordingly.

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## What the Utah Worker does...

- Determine if information was already known or is new.
- Verify with the customer (phone call, send notice) employer, VA or other benefit state.
- Refer an investigation and/or overpayment as needed.

## Colorado’s Way.....

- PARIS matches are disseminated to County Investigation staff.
- A step-by-step procedure walks Investigators through the reports.
- Reports for all 3 PARIS matches are viewable in Business Objects system.
- Match outcomes are tracked on a spreadsheet.
- Eventually an outcome screen will be added to CBMS (Benefit System).

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## Things to consider...

- What does your department or agency want to get out of using PARIS?
- Cost savings
- Disqualifications
- How can PARIS fit into current processes?
- Is there room for improvement or even a better way?

## Questions?

## Contact Information

- Rachael Stewart			Paul Pickerell
- UT Dept of Workforce Services		OR Dept of Human Services
- 801-526-9257				503-373-1076
- _[rachaelstewart@utah.gov](mailto:rachaelstewart@utah.gov)_ 		 _[Paul.Pickerell@state.or.us](mailto:Paul.Pickerell@state.or.us)_
- Sunny Randall
- OK Dept of Human Services Office, OIG
- 580-678-9561
- _[solei.randall@okdhs.org](mailto:solei.randall@okdhs.org)_