Robert F. Fairweather

“ The UP estimate will be considered and added to the IP estimate for purposes of compliance and for purposes of determining whether the program is above the statutory threshold.
C. Identifying the Correct Type of Payment
To efficiently prevent IPs and UPs, it is first important to properly understand the payment type. There are three main types of payments which collectively degrade the payment integrity of the agency: Monetary Loss IPs, Non-Monetary Loss IPs, and UPs. ”

“ Each submitted S&EMP checklist must be signed by an agency official stating that the S&EMP will produce a statistically valid estimate. The certification should be signed by an agency official of the agency’s choosing (e.g., this could be the Chief Financial Officer, his/her Deputy, a program official, etc.) . The signed S&EMP checklist will serve as evidence that the agency believes the S&EMP is statistically valid. Agencies are encouraged to provide their secure Max link to their OIG so the OIG is able to review this documentation during their annual compliance review. ”

“ An UP will eventually be determined to be proper or improper but because the program does not know whether it is proper or improper at the time of their review, they must call it an UP for purposes of this guidance. Programs may be required to report the review results of their UPs in future reporting years as the results become available. Agencies should not cushion their reporting timeframe specifically for the purpose of allowing the agency additional time to verify whether an UP is proper or improper. ”

“ When an agency has completed their S&EMP, it must submit the S&EMP and a completed S&EMP checklist in pdf format to OMB by uploading one package containing both the S&EMP and the S&EMP checklist via the Sampling and Estimation Methodologies folder located within the agency secure Max page under the Payment Integrity Information Act Required Submissions to OMB Max Page. ”

“ Terminology used in Appendix C to Circular A-123 is defined in Appendix 1A and should be consulted in conjunction with the main body of this circular for full understanding and implementation of the guidance. ”