Opportunities to Enhance Payment Integrity

Angélique M. Bridges, Agency Lead, Outreach & Business Processes, Office of Payment Integrity 

J.J. Bell, Management Analyst, DNP Primary Local Security Administrator,

Department of Agriculture

GFMCVirtualsm Webinar Event

August 14, 2023
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Learning Objective

Attendees will learn how agencies are:

• utilizing payment integrity services to identify, prevent, and 

recover improper payments, 

• assessing the results of current trends, and 

• using data to drive decisions and improve and develop new 

services.
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Our Mission

Provide governmentwide partnership, 

guidance, and solutions through wellmessaged, integrated, and cost-efficient 

payment integrity services. Our services are 

easily adapted to existing or newly 

authorized programs to assist federal and 

state agencies in making informed 

decisions to support the identification, 

prevention, and recovery of improper 

payments and fraud.

Our Vision

Be a trusted partner of federal and federally 

funded state administered programs issuing 

federal funds by providing actionable 

business insights and solutions that 

transform how agencies approach 

identification, prevention, and recovery of 

improper payments and fraud.

Office of Payment Integrity Mission, Vision & Goals

The Office of Payment 

Integrity (OPI) represents 

the consolidation of the 

Do Not Pay® (DNP) and the 

Payment Integrity Center of 

Excellence (PICOE) 

programs to provide 

comprehensive 

governmentwide payment 

integrity services to its 

stakeholders.

Our Goals

1. Maximize the use of quality, complete data 

available to federal agencies and FFSA 

programs to prevent improper payments.

2. Promote partnerships across federal 

agencies and FFSA programs to establish 

OPI as a trusted source for payment 

integrity solutions.

3. Address improper payment challenges by 

offering solutions driven by data and 

expertise that allow our customers to 

maintain their mission and strategic focus. 

4. Identify opportunities to strengthen 

Governmentwide policy, guidance, and 

legislation to increase the public’s trust in 

Government payments.

5. Develop expertise and insight to advance 

governmentwide improper payments and 

fraud prevention efforts.
OPI Focus Areas 

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The DNP Initiative

In April 2012, OMB released a memorandum describing the efforts of OMB and the Department of the 

Treasury to establish the DNP Initiative. An overview of the initiative is outlined below:
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The Working System is one element of the larger multi-agency government-wide Do Not Pay Initiative and centrally 

provides a variety of data matching and data analytics services to support agency programs in their efforts to prevent 

and detect improper payments.

DNP Initiative and the Working System

The Initiative supports Federal 

agencies and federally funded, state 

administered programs in identifying 

and preventing improper payments. It 

encompasses multiple resources that 

are designed to help Federal agencies 

review payment eligibility for the 

purposes of identifying and preventing 

improper payments.

Do Not Pay Initiative

Centralized data and analytics 

services performed at Treasury as 

part of the DNP Initiative functions for 

all federal payments. It includes 

databases defined by Congress as 

well as those designated by OMB or 

a designee and allows agencies to 

perform pre-payment reviews and 

other activities

The Working System
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Why, When, and How to Use the Working System?

The Working System can help mitigate various unintentional errors while simultaneously providing benefits to an agency. 

Additionally, there are 5 primary ways agencies can leverage the DNP Working System. 

Verify Eligibility

Save Time

Save Money

Reduce Errors

BENEFITS TO AGENCY

Online Search

Batch Matching

Continuous Monitoring

Payment Integration

WAYS TO USE DNP

Agencies use a secure online interface to check various data sources to verify eligibility of a vendor, grantee, loan recipient, or beneficiary to receive federal payments. 

All agencies are required to use the Working System to support their payment process. 

Wrong Recipient 

Right Recipient, Wrong 

Amount of $

No Documentation

Misuse of Funds

UNINTENTIONAL 

ERRORS DNP MITIGATES

Web Service/API
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Data can be made available via a combination of Online Search, Batch Match, 

Continuous Monitoring, API, and analytics projects.

Death Data

Registered Entities

• SAM Entity Registration Records -

Restricted (GSA) - Restricted

Debarred Foreign Entities

• Office of Foreign Assets Control 

(OFAC) Department of the Treasury 

(Treasury) - Public

• Death Master File (DMF) Social 

Security Administration (SSA) - Public

• American InfoSource (AIS) Obituary 

and Probate Records - Commercial

• Department of Defense (DOD) Death

• Department of State (DOS) Death

• Electronic Verification of Vital Events 

Fact of Death (EVVE FOD) -

Commercial

• Credit Alert System (CAIVRS) with 

input from DOJ, HUD, SBA,USDA & VA 

- Restricted

• Treasury Offset Program (TOP) Debt 

Check - Treasury - Restricted 

Delinquent Debtors

Additional Data 

Services/Sources

• Data Analytics

• Account Verification Service (AVS)

• Cross Government Payment 

Information

• Identity Verification 

• List of Excluded Individuals and 

Entities (LEIE) - Health & Human 

Services (HHS OIG) - Public & 

Restricted 

• System for Award Management (SAM) 

Exclusion Records - General Services 

Administration (GSA) - Public & 

Restricted

Debarment Data

Current Data Sources and Services

Non-Profit

• Internal Revenue Service (IRS) Tax 

Exemption Lists: - Public

– Automatic Revocation of 

Exemption List (ARL)

– Form 990-N (e-Postcard)

– Publication 78 (Pub 78)
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Newly Designated Data Sources

Multi-Use

• DNP Adjudication

Data - Fiscal 

Service

• Payments, Claims,

and Enhanced

Reconciliations 

(PACER) - Fiscal 

Service

Debarment 

Data

• National

Disqualified List -

Department of 

Agriculture

Incarceration

• Bureau of Prisons

Data - Federal 

Bureau of Prisons

Eligibility 

Data

• National Plan and

Provider 

Enumeration

System (NPPES) -

HHS
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Examples of Product Solutions

Deceased Payee Solutions

• Feedback in FY2023 

of $10M in prevented/recovered 

improper payments from the 

Deceased Record Confidence Scoring 

Tool.

• Plans to expand reach 

include additional onboarding 

to monthly reports, access via the 

Working System, and state access.

New Data Sources for the Working System

• Performed analysis on Death Notification Entry 

data which will increase death data coverage.

• Conducted a pilot to investigate the value of 

income and employment data via The Work Number. 

• Initiated identity verification pilot of Lexus Nexis 

Accurint data service.

Reaching State Offices

• Built and piloting a Medicaid 

Screening Service to provide states 

with death matches, eligibility data, 

and data quality assessments.
States

Opportunities to Enhance Payment Integrity 
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Who Can Benefit From Our Services?

Unemployment Insurance

CHIP

SNAP Office of the Comptroller

TANF

Vendor Payments

Foster & Child Care

Grants & Loans

Office of Inspector General

Office of State Auditor

CARES Act MedicaidRecipients

Providers

Payment Integrity Information Act of 2019

• Each State and any contractor, subcontractor, or agent of a 

State, including a State auditor or State program responsible 

for reducing improper payments of a federally funded Stateadministered program, and the judicial and legislative 

branches of the United States, as defined in paragraphs (2) 

and (3), respectively, of section 202(e) of title 18, shall have 

access to, and use of, the Do Not Pay Initiative for the 

purpose of verifying payment or award eligibility for 

payments.

ARPA
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File Creation

Data Transfer

to the Working 

System

Match Results 

received from 

the Working System

Adjudication/ 

Evaluation of 

Match Results

Feedback of

Adjudication Results

to the Working 

System

Medicaid and SNAP

July 2022 158

August 2022 100

September 2022 29

October 2022 64

November 2022 73

March 2023 20

April 2023 11

Total Confirmed Deaths: 2,215

Cost Avoidance: $4,304,291 

Recovery: $1,197,517 

Total: $5,501,808 

Continuous Monitoring Snapshot – Monthly Payments

Oregon Office of Payment Accuracy and Recovery
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State 3

Medicaid and CHIP Eligibility Verification Analysis

FY 2020-2021 and partial 2022

• 268M records provided

• 9K distinct recipients (108K suspected improper 

payments) who were deceased before their medical 

service date. 

• 11.6K recipients with incorrect Security Numbers 

(SSNs) 

• Results: $1,425,777

Alabama Dept of Examiners of Public Accounts

Unemployment Insurance 

Oct 2020 – Sept 2022

• 7.5M payment records provided

• 302 Individuals confirmed as being deceased/ 6,345 

payments made

• Results: $1,349,255 in Improper Payments

− Date range of deaths: 1943 - May 2022

https://www.legislature.state.al.us/pdf/eopa/audit_reports

/23__068_23-068-Dept.%20of%20Labor%20Special.pdf

State 4

CARES Act Vendor Eligibility 

July 2018 to January 2021

• 119K records reviewed

• $1M in improper payments attributed to debarred 

vendors (Federal Funding). 

− An additional $12M in State Funding 

• $497,493: continued their performance audit of 

these debarred vendors

Tennessee Comptroller of the Treasury

Unemployment Insurance 

July 2020 to June 2021

• 530 individual records provided (sample)

• 93 Individuals confirmed as being deceased

− 4 individuals confirmed with incorrect SSN

• Results: $410,709 improper payments

https://comptroller.tn.gov/content/dam/cot/sa/advancedsearch/disclaimer/2022/2021SingleAudit.pdf

Success Stories
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 “Utilizing DNP’s risk scoring capabilities enhanced our planning activities and provided us with 

actionable results.”

--State Auditor’s Office of Massachusetts

 “Direct benefits include authoritative sourcing that increases LAD’s credibility with auditees. The DNP 

results alert agencies to data errors in their identification data. These skills and the DNP service can 

become part of our growing data analytic toolbox.”

For LAD, personnel costs were saved by using a single source, rather than manually compiling multiple 

years do death records the state death records. This saved time both in compiling and performing 

quality control checks. In addition, the DNP service provided a level of certainty about the death that the 

state source does not.”

--Montana Legislative Audit Division

 “Our partnership with DNP has resulted in an increase in cost avoidance and recovery dollars 

consistently every month. Additionally, it provides a resource to identify our clients who may have 

passed away out of state or out of country. We’ve had a positive experience working alongside the DNP 

team and encourage others to explore the benefits of this resource.” 

--Oregon Department of Human Services, Data Match Unit Managers

Customer Feedback
United States Department of Agriculture

USDA and Do Not Pay®:

A Decade Long Partnership 

J.J. Bell, Management Analyst, DNP Primary Local Security Administrator

US. Department of Agriculture, Office of Chief Financial Officer, Fiscal Policy Division

GFMCVirtualsm Webinar Event

August 14, 2023
Overview of USDA

 USDA is comprised of 162 programs that make up eight mission areas focused on providing leadership on food, 

agriculture, natural resources, rural development, and nutrition. 

 The USDA seeks to provide economic opportunity through innovation, helping rural America to thrive; to promote 

agriculture production that better nourishes Americans while also helping feed others throughout the world; and to 

preserve our Nation's natural resources through conservation, restored forests, improved watersheds, and healthy 

private working lands.

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USDA and Do Not Pay®

 Began using Do Not Pay in 2013

 USDA utilizes 3 of the 4 Payment Life Cycles

 All utilize Pre-award

 A majority utilize both Pre-award and Pre-payment

 A handful utilize Pre-award, Pre-payment, and Post-payment

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USDA and Do Not Pay®

 USDA currently has 1,700+ active users (LSA and Portal Users)

 Last three years, average annual increase of 3-5% users

 Four new programs in various states of the onboarding process

 Addition of these programs is expected to double our current active user numbers by the end 

of FY24

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Growing the Program

 Analyze internal improper payment related deliverables submitted by 

programs throughout the fiscal year

 Review the AFR

 Utilize the information to schedule meetings with Agency points of 

contact

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Growing the Program

 While programs are receptive there are some obstacles to the 

growth process

 Concerns about the mechanics of implementing DNP into current established processes

 Many USDA programs are federally funded State-run programs - there are additional 

considerations when designing an implementation plan

 These are certainly surmountable obstacles; they just have the 

potential to add time in the implementation process

 Conversations with program personnel is critical to success

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Training

 Do Not Pay®

 Overview of program to new enrollees

 New user training

 LSAs: enrollment process overview

 Portal Users: portal demonstration

 Internally

 Each program has their own training program

 Currently working on Departmental Policy that would create a consistent set of guidelines

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Partnership with Office of Payment Integrity

 Weekly meetings

 Current status

 Review technical announcements

 Partner in planning out the direction of USDA program enrollment

 Pre-COVID on-site meetings

 Informative conversations with PICOE to explore future options that 

we can pair with Do Not Pay®

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Contacts

Treasury Working System: donotpay@fiscal.freasury.gov

General Inquiries: opi.outreach@fiscal.treasury.gov

Website: https://fiscal.treasury.gov/dnp/