integrated fraud detection (ifd) data match california department of social services guide to: 1

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INTEGRATED FRAUD DETECTION (IFD) DATA MATCH California Department of Social Services Guide To: 1

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Page 1: INTEGRATED FRAUD DETECTION (IFD) DATA MATCH California Department of Social Services Guide To: 1

INTEGRATED FRAUD DETECTION (IFD) DATA MATCH

California Department of Social Services Guide To:

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Page 2: INTEGRATED FRAUD DETECTION (IFD) DATA MATCH California Department of Social Services Guide To: 1

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History:

• Public Law 98-369 required states to establish an income and eligibility verification system for CalFresh and CalWORKs.

• Title 45 of the Code of Federal Regulations (CFR), Part 205.55 required states to check wages and income every three months.

Page 3: INTEGRATED FRAUD DETECTION (IFD) DATA MATCH California Department of Social Services Guide To: 1

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Data Sources:

• Employment Development Department (EDD)

• Social Security Administration (SSA)• Counties and Consortia• Department of Health Care Services (DHCS)

Page 4: INTEGRATED FRAUD DETECTION (IFD) DATA MATCH California Department of Social Services Guide To: 1

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Criteria:

1. Wage Match- Recipient information is compared to employer-reported wage data from EDD.

2. Duplicate Aid Match- CDSS compares data between SSA and what the recipient reported to check if a recipient is collecting CalFresh and/or CalWORKs while collecting Social Security/State Supplementary Program Income. - Records are flagged during the quarter.

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Tolerance Level:

• CalWORKs and CalFresh is $1,000 or greater

• Medi-Cal is $5,000 or greater

The consortia will only receive cases which show that the difference between the quarterly wages reported to EDD and those reported by the county exceed a specified level.

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Frequency:

The match is sent quarterly, on January, April, July, and October.

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Method:

Secure File Transfer Protocol (SFTP) server

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Age of Data:

7 – 9 months old

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Mandates:

• Public Law 98-369• 45 CFR 205.55

45 DAYS

DUE

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Questions? Comments?

Email [email protected]