Wisconsin Department
of Children and Families - Division
of Early Care and Education
Bureau of Child Care Subsidy Administration
Wisconsin Shares Handbook
This Appendix provides department expectations and requirements for local agency program integrity efforts.
Local Agency Fraud Plans
Local agencies are
required to submit an annual Agency Fraud Plan for review to the Bureau
of Child Care Subsidy Administration (BCCSA) as required by the annual
Child Care Contract Scope of Services. The Scope of Services requires
that the Agency Fraud Plan identify local agency operations, outline procedures, and
show responsibility for ensuring program integrity as required under the Child
Care Fraud Plan Guidelines. Under the contract, local agencies must follow
all policy and procedural requirements.
Subcontracting
Under
the terms of the Child Care Contract, local agencies may subcontract for
all or part of the required program integrity activities. The local agency
is responsible for ensuring that subcontractors are following all required
fraud investigation and overpayment procedures.
Agency Operations Audits
Additional
audits may be performed by the BCCSA Program Integrity Section to further
support local agencies in identifying errors in the Wisconsin Shares program,
and to recognize their accomplishments in correctly completing case eligibility
and authorization processes. Local agencies are required to correct any
discovered errors. Local agencies may be required to complete a corrective
action plan to prevent future errors of the same type.
Data Tracking Requirements
Local agencies are required to maintain data and total counts of the following information to be provided to the department each year in their Agency Fraud Plans:
Fraud allocation amount
Amount of allocation spent per year
What the fraud allocation was spent on
Total number of:
Client case referrals
Open client case referrals
Administrative Errors*
Client Errors*
Client IPVs established
Client investigations completed
Overpayment for each sanction type
Client appeals for overpayments and Intentional Program Violations (IPVs)
Client remands
Client remands not completed within the 10-day grace period
Collusion cases investigated
Cases presented to the District Attorney (DA), and accepted by the DA
Provider referrals
Provider investigations completed
Provider overpayments
Provider errors
Administrative errors
Provider remands
Provider remands that were not processed within the 10-day timeframe
Provider appeals
Providers terminated from the Wisconsin Shares program
*Some or all data for these errors may be found in the Benefit Recovery Investigation Tracking System (BRITS) Data Warehouse. If a local agency logs all their administrative errors in BRITS, then the BRITS Data Warehouse would fully encompass all the data. However, there may be certain circumstances where the data in BRITS is not all encompassing.
Program Integrity Data Exchange Discrepancies
State Wage Income Collection Agency (SWICA) Discrepancies
When a SWICA discrepancy is received for a case (see 7.9.3), the local agency must correct the case if ongoing eligibility is impacted. After the correction is made an investigation must occur, and an overpayment must be established if applicable. SWICA investigations are the same as an investigation if a parent failed to report a change in income. Agency workers are expected to contact the parent or a third-party source to resolve the discrepancy and to request verification when necessary.
Case comments must be added in CWW to document the actions taken and overpayments completed. Overpayments related to the SWICA match are not required to be completed within the 45-day timeframe (see 7.9.3).
Prisoner Data Exchange Discrepancies
CWW creates discrepancies for individuals who are included in a parent’s Assistance Group (AG) and are incarcerated for more than 30 calendar days (see Process Help Section 44.4.2.3). A household composition investigation should take place if a prisoner data match referral is received.
This section last updated 12/1/2022