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900.8 Sanctions

Individual states are subject to fiscal sanctions if their error rates are above specific targets (also known as tolerance levels) established by the federal government.

NOTE:  Federal tolerance levels are:

Therefore, it is to the state’s advantage to keep errors to a minimum.

QC computes a positive payment error rate by dividing the amount of incorrect payments by the total amount of benefits issued in all the cases sampled for the program in question. The payment error rate is not final until after the federal re-review is completed. See Section 900.15, Re-Review. Negative error rates are computed by dividing the number of incorrect cases by the total numbers of cases completed.

Reissued January 30, 2015, replacing September 20, 2012