Breakout Session - CAPER Results from the Past and Where We Go From Here
Jessica Shahin, Stephanie Proska - FNS
Jeri Flora - Florida
Cheryle Thompson - Texas
Q: How is Congress viewing the CAPER? A: FNS has received no inquiries from them
Jeri Flora, Florida - PowerPoint
CAPER required a major Philosophical Change. States weren't adequately prepared.
How useful is data generated by CAPER review? Able to strengthen procedures, improve notices, use of appropriate system codes, improved timeliness
Maryland: analyzed data and identified system coding issues by staff (esp multiple program cases)
Texas: problems are not easily fixed
Wisconsin: identified necessary system changes
New York: Notices are problematic especially very specific information such as countable income figures. Texas agrees was problem for them also. Wisconsin had conducted client focus groups prior to CAPER and had to revisit.
Arkansas: improved staff system code selections. Workers would use Other code which did not generate a notice. Also notices regarding missed information when it had been provided reduced.
What challenges were presented through CAPER?
Florida: required technology changes allowing for detailed and specific details.
Texas: system enhancements on average take 18 months to produce. Plus system took action, not workers. Had to change system to allow for worker intervention. Plus workers can not view notice prior to it being sent.
Maryland: If notice is wrong, manual notices have to be sent to client. QC findings are monitored for compliance.
Vermont: Clear and understandable - who defines?
New Jersey: Clear and understandable - very subjective. FNS should provide language.
FNS: Was guidance on notices helpful?
Florida: States need policy not guidance
Texas: Has pre-denial readings. Supervisor reads and approves before action is taken. 245 doesn't provide sufficient details for corrective action purposes. 245 doesn't tell them if case outcome was correct
Pennsylvania: Feels we need both measurements.
Wisconsin: Returns requested verifs to one point for scanning and document imaging. Having difficult time with. How are other states dealing with.
North Carolina: time stamp receipt on documents may help. If denied at 2 and documents received at 3, it's valid.
Oregon: Interim reports on 12-month certs are challenging also.
Corrective Actions -
Florida - hold regions accountable, completed code table scrub (had 800), removed hard coding of system generated reason codes. Training and education of staff, developed code table guide, reduced threshold of tolerance for field
In Florida, 58.23% is procedural. Notices 32.91%
Texas requests report be made available with the federal breakdown of error trends/breakdowns
Suggestions for improvement
Start over, consider a tolerance level, stabilization of variances, provide clear and uniform federal policy training, policy is complicated and subjective.
Stephanie Proska - appreciates conversations to improve CAPER process. Going forward, FNS plans to provide more technical assistance. Identify areas where they can be more flexible. FNS is completing analysis on error codes to quantify error breakdown and support recommendations/complaints.
Larry G - Important to provide good customer service. Agree we do not want a system which leaves client confused. Have to keep working toward program simplification.