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include both intentional and unintentional client and/or provider violations, as defined by the Lead Agency. These violations and errors, identified through the error-rate review process may result in payment or nonpayment (administrative) errors and may or may not be the result of fraud, based on the Lead Agency definition. Check and describe any activities that the Lead Agency conducts to ensure program integrity. Effective Date: 10/01/2018

a) Check and describe all activities that the Lead Agency conducts to identify and prevent fraud or intentional program violations. Include in the description how each activity assists in the identification and prevention of fraud and intentional program violations. Include a description of the results of such activity. Share/match data from other programs (e.g., TANF program, Child and Adult

Care Food Program, Food and Nutrition Service (FNS), Medicaid) or other databases (e.g., State Directory of New Hires, Social Security Administration, Public Assistance Reporting Information System (PARIS)). Describe Nebraska will track the number of programs participating in Step Up to Quality and will measure the number of programs that move up at least one quality level.

Run system reports that flag errors (include types). Describe: Nebraska currently runs monthly system reports that flag co-payments being paid, transportation units being paid and providers that make an excess of $250,000 per Fiscal year. This allows monitoring and timely actions and/or corrections to be made.

Review enrollment documents and attendance or billing records Describe: Nebraska Policy Staff and Resource Development staff will review billing and attendance records on a regular basis to ensure program integrity. This allows actions to be taken to correct issues before they become an ongoing problem.

Conduct supervisory staff reviews or quality assurance reviews. Describe: Program Accuracy Specialist (PAS), frontline supervisors, and CCDF Program Specialists review several child care cases monthly. PAS and CCDF staff have Nebraska Page 298 of 314