Attachment I (Accessible PDF).pdf

ETA Advisory File Text

Attachment I I-1 Benef it Accuracy Measurement BAM Paid Claims Accuracy Annual Report Report Def initions and Report Footnotes BENEFIT ACCURACY MEASUREMENT PAID CLAIMS ACCURACY ANNUAL REPORT Sample STATE ZZ Batch Range 202327 - 202426 Total Dollars Paid in Population 221 830 728 Sample Size 383 Percentage Of Dollars 95 Conf idence Interval - Proper Payments 88.1 3.5 Overpayments 11.6 3.5 Total 100.0 Underpayments 0.3 0.2 Percentages apply to less than a complete year of UI payments the Sta te did not pull a sa m ple f or 3 week s . The Sta te com pleted 83.7 of the ca ses within 90 da ys. The Qua lity Control QC progra m sta nda rd is 95 com pleted within 90 da ys. 15.9 of the sample cases were not completed when this report wa s prepared. This exceeded the QC progra m requirem ent tha t no m ore tha n 2 of the ca ses f or the yea r rem a in incom plete. I-2 BENEFIT ACCURACY MEASUREMENT PAID CLAIMS ACCURACY ANNUAL REPORT Supplemental Data Sample STATE ZZ Batch Range 202327 - 202426 Responsibility f or Overpayments Percent of Dollars Overpaid Cla im a nt Only 51.6 Agency Only 15.6 Cla im a nt Agency 10.6 Cla im a nt Em ployer 10.5 Em ployer Only 8.6 Cla im a nt Em ployer Agency 2.1 Cla im a nt Other 1.7 Em ployer Agency 1.0 Other Only 0.0 Em ployer Other 0.0 Agency Other 0.0 Cla im a nt Em ployer Other 0.0 Cla im a nt Agency Other 0.0 Em ployer Agency Other 0.0 Cla im a nt Em ployer Agency Other 0.0 Responsibility Not Specif ied 0.0 I-3 Cause f or Overpayments Percent of Dollars Overpaid Benef it Yea r Ea rnings I ssues 39.1 Eligibility I ssues Excluding Work Sea rch 25.7 Sepa ra tion I ssues 20.5 Ba se Period Wa ge I ssues 7.4 Other I ssues 5.9 Work Sea rch I ssues 2.9 N O T E The percentages f or the responsibilities or ca use do not sum to 100 percent. You should check f ield h5 to verif y tha t a ll ca ses ha ve been coded correctly within your specif ied ba tch ra nge. I f ca use a nd responsibility percentages do not add up to 100 percent states should check f or ca ses in which the key week a m ount overpaid coded in da ta element h5 in the b master table of the UI database does not equa l the sum of dolla rs overpaid coded in da ta element ei1 f or key week a ctions 10 11 12 13 a nd 15 in the b errisu ta ble. The a m ount overpa id ca nnot exceed the a m ount pa id coded in da ta elem ent f 13 in the b m a ster ta ble. I-4 BAM Annual Report Definitions Total Dollars Paid in Population Total UI benef its paid to the population of UI claimants who constitute the sampling f rames f or all weeks in PIIA 2024 f rom which the State pulled a BAM sample adjusted to exclude UI payments that do not meet the def inition of the BAM population f or example supplemental payments or payments made f or Emergency Unemployment Compensation EUC claims . These excluded cases are coded 8 EUC or 9 all other excluded records in the program code data element c1 in the b master table of the UI database. Sample Size Total number of UI payments selected during PIIA 2024 BAM batches 202327 through 202426 and completed supervisor sign-off by COB October 28 2024 excluding cases that do not meet the BAM population def inition. This is the number of BAM sample cases f rom which the payment accuracy rates and conf idence intervals are estimated. Proper Payments The weighted ratio estimate of total dollars properly paid to total dollars paid expressed as a percentage. Overpayments The weighted ratio estimate of total dollars overpaid to total dollars paid expressed as a percentage. Underpayments The weighted ratio estimate of total dollars underpaid to total dollars paid expressed as a percentage. Weighting Procedures UI benef its properly paid overpaid and underpaid f or each batch with at least two completed paid claims cases are weighted by the batch population adjusted to exclude cases that do not meet the BAM def inition program code 8 or 9 . The accuracy rates are the ratios of these weighted benef its summed f or all batches. Batches with only one completed case are merged to ensure that each batch has a minimum of two completed cases. 95 Percent Conf idence Interval A conf idence interval expressed as - x percentage points is constructed f or each of the three estimated rates. The actual rate is expected to lie within 95 percent of the intervals constructed f rom repeated samples of the same size and selected in the same manner as the BAM sample. I-5 BAM Paid Claims Accuracy Footnotes Footnote 1 Claimants f ailing to conduct required work search were given f ormal warnings and no overpayment was established. The proper payment rate would be lower and the overpayment rate would be higher if these cases were counted as erroneous payments. Condition Any PIIA 2024 BAM case with key week action code 14 in f ield ei2 of the b errisu table of the UI database. Footnote 2 Percentages apply to less than a complete year of UI payments due to the State not pulling a sample f or x weeks. Condition There is no record in the b comparison table of the UI database f or one or more BAM batches 202327 through 202426. Note If the State requested and received permission f rom ETA to suspend BAM sampling temporarily due to a catastrophic event or another approved reason the f ootnote will ref lect that ETA concurred with the suspension. Footnote 3 The State selected samples that were below the minimum prescribed levels f or x weeks. Condition State selected one or more BAM weekly samples below the minimum level prescribed in Benef it Accuracy Measurement State Operations Handbook ET Handbook No. 395 5th Edition chapter VI p. 11. Sampled cases that f ail to meet the BAM population definition are counted toward meeting the minimum weekly sample. The minimum weekly and quarterly samples based on current annual sample allocations are Sample Annual Allocation Normal Weekly Minimum Weekly Normal Quarterly Minimum Quarterly Paid Claims 360 7 5 90 81 Paid Claims 480 9 6 120 108 Denials 150 450 3 2 37-38 32 Allocation f or the ten smallest states in terms of UI workload. 150 cases each of monetary separation and non-separation denials will be selected each year f or a total of 450 Denied Claims Accuracy cases. Note If a state requested and received permission f rom ETA to reduce BAM sample sizes temporarily due to workload contingencies the f ootnote will ref lect that ETA concurred with the reduction. I-6 Footnote 4 Percentages based on data collection procedures that were not completely in accordance with the program methodology prescribed in ET Handbook No. 395 5th Edition. Condition ETA staf f continuously monitors state perf ormance with respect to the BAM administrative requirements established in ET Handbook 395 5th Edition f or example minimum sample sizes population variances case completion percentages and timeliness and quality of the BAM audits . According to UIPL No. 09-23 p. 19 states must address BAM program perf ormance def iciencies in a Corrective Action Plan as a part of the State Quality Service Plan. Footnote 5 The state completed x percent of the cases within 90 days. The program standard is 95 percent completed within 90 days. Condition State f ailed to meet case completion objectives established in ET Handbook No. 395 5th Edition Benef it Accuracy Measurement State Operations Handbook chapter VI p. 11. Cases not meeting the BAM population definition are not counted in calculating state time lapse rates. Footnote 6 X percent of the sample cases were not completed when this report was prepared. This exceeded the program requirement that no more than two 2 percent of the cases f or the year remain incomplete. Condition The percentage is based on the number of BAM cases that were not completed no supervisor sign-of f by COB October 28 2024 divided by the number of valid cases selected for BAM weekly samples during PIIA 2024 BAM batches 202327 through 202426 . Cases that do not meet the BAM population def inition are not counted in calculating state case completion rates. Footnote 7 The annual sample f or state is x cases below the allocated annual sample f or the state. The precision of the data might be reduced due to the f ailure to sample at the prescribed level. Condition The state s annual sample selection is below its allocated annual sample. Cases that do not meet the BAM population def inition are not counted toward meeting the annual sample allocation. Note If a state requested and received permission f rom ETA to reduce BAM sample sizes temporarily due to workload contingencies the f ootnote will ref lect that ETA concurred with the reduction. I-7 Footnote 8 The population f rom which the BAM sample was selected did not include all of the UI benef its paid. This limits the degree to which inf erences about the population can be made f rom BAM data. Condition The dollars paid in the BAM population f or PIIA 2024 vary f rom the dollars paid reported in the state s ETA 5159 Claims and Payment Activities reports by more than the statistical control limit.