Annual Performance Plan - 2014, Revised Final Performance Plan - 2013 Page 41
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89amount of their payments. To ensure the accuracy of SSI payments, we conduct redeterminations,
which are periodic reviews of non-medical factors of eligibility. For FY 2014, we estimate that every
dollar spent on SSI redeterminations will yield about $5 in program savings over 10 years, including
Medicaid program effects.
Using Predictive Modeling in the SSI Redetermination Process:
We do not have the resources to
conduct an annual redetermination on every SSI recipient, so we use a statistical scoring model to
identify cases for redetermination that have a high likelihood of error. The statistical model uses various
income, resource, and living arrangement variables to predict likely SSI overpayments.
Using this scoring model, we expect the cases we completed in FY 2012 to result in the prevention and
recovery of $2.9 billion in total lifetime SSI overpayments. If we had relied on random case selection
rather than using a predictive model, we project that we would have prevented and recovered only
$2.1 billion in total lifetime savings in that year. In FY 2012, we began implementing an enhanced model
with additional recipient living-arrangement information. This model enhancement will further improve
our targeting of likely SSI overpayments by better identifying cases where recent changes in living
arrangements have affected SSI payments.
Expanding the Access to Financial Institutions (AFI) Initiative:
AFI is a web-based system that
allows SSA to detect undisclosed assets in bank accounts. Detection of these assets prevents one of the
most frequent causes of SSI erroneous payments. We completed the rollout of AFI to all 50 states, the
District of Columbia, and the Northern Mariana Islands in FY 2011, and in FY 2012, we fully integrated
the AFI process into our SSI Claims process. We plan to continue expanding its usage with a reduction in
tolerance expected in FY 2013 pending available resources, and full implementation in the near future.
Promoting Use of the SSI Telephone Wage Reporting System (SSITWR):
Wages continue to be a
major source of payment error in the SSI program because we do not always receive accurate or timely
monthly wage information. To facilitate timely reporting, we established a dedicated telephone number
to allow recipients and their representative payees (i.e., organizations or persons who receive SSI
payments on behalf of recipients who cannot manage their own benefits) to report monthly wages by
calling and using a combination of touch-tone entry and voice-recognition software.
Our software system automatically enters the wage data into the SSI system. This process is more
efficient than the recipient visiting a field office and having us manually enter the report of wages into
our processing system. The improved efficiency of SSITWR allows us to process wage reports early
enough to adjust the next SSI payment, thereby preventing improper payments.
As part of our ongoing efforts to promote monthly wage reporting, we are conducting a Payee Outreach
Pilot. We mailed notices to a group of representative payees for working SSI recipients. The notices
asked the payees to start using SSITWR to report the recipients’ wages to us. Based on the successful
results of the pilot, we expanded the mailing to a larger group of representative payees for working SSI
recipients. In FY 2013, we will continue to recruit new reporters to use SSITWR and post a webcast on
our website that promotes the use of SSITWR. Future efforts to enhance this initiative will include the
development of an Internet-based wage reporting application.
Expanding the Use of Electronic Death Data Exchange with Foreign Governments:
We have
expanded the use of electronic death data exchange with foreign governments to ensure we do not pay
benefits to deceased people who resided outside of the United States. In FY 2012, we improved our
exchange methodology with Australia, Sweden, and the Netherlands—our existing exchange partners.
In FY 2012, we also implemented reciprocal exchanges with Germany and South Korea.
In FY 2013, we
Annual Performance Plan for FY 2014 and Revised Final Performance Plan for FY 2013
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