Discussion about this post

User's avatar
Duane McMullen's avatar

For the problem of repeated income verifications by multiple government entities that don't talk to each other, why not create a single income verification portal? State and federal entities make their inquiry through the portal. If there is no relevant income file for the person, the portal automatically gets it from Equifax, gives it to the entity that made the request, then saves the report. The next entity that requests income verification on the same person would get back the previously saved report.

If multiple requests for the same data are a problem, the cost of setting up the portal would be paid back very quickly.

Barbara Skoglund's avatar

We also need to break away from the pennies matter philosophy. I've had long running discussions with program integrity leaders who think someone reporting $500 in income, but paper proofs or electronic data showing $550 as some sort of fraudster. It's absurd. Poor folks have multiple jobs and varying hourly wages, yet eligibility and fraud staff think they should be able to predict their income to the penny - even if they are clearly far below eligibility thresholds.

My state accesses IRS, quarterly wage and unemployment, and TWN data via the Federal Data Hub for healthcare. We use FTI, but workers cannot see it. And if they cannot see it, they don't trust it. The federal hub isn't connected to the eligibility system used for SNAP, TANF, Child care, or Medicare for the elderly and disabled in our siloed system. So workers are constantly "double checking" by using standalone interfaces to TWN and quarter wage and unemployment data. Their "poof" that the Federal Hub is "wrong" is that the pennies don't match! Anything that doesn't match to the penny is often followed by a 10-day notice for someone to reprove eligibility - even though all the evidence indicates they are eligible, creating unnecessary churn that increases the burden on both the residents AND the workers.

There is still a strong core attitude in the US that only "deserving" residents should have access to public programs. You prove you deserve the benefits you are eligible for by making it through a gauntlet of policies, procedures, reviews and endless other barriers. Of course your mom with dementia should get Medicaid ASAP because she is one of the "good ones."

Meanwhile we spend millions on TWN and processes and procedures that do not add value or improve program integrity. They create barriers for eligible residents and increases the workload for workers.

No posts

Ready for more?