BENEFITS QUALITY CONTROL
STATE OPERATIONS HANDBOOK

TABLE OF CONTENTS

	Page
Chapter I. Benefits QC Overview Introduction Background Overview of Benefits QC Overview of Handbook	I-1 I-1 I-2 I-3
REQUIRED PROCEDURES
Chapter II. Organization and Authority Organization Authority Written QC Procedures BQC Software	II-1 II-1 II-1 II-1
Chapter III. Data Processing - SESA Mainframe Computer Operations and Interfaces with QC Computer Introduction Overview Detailed Instruction to State ADP Staff Record Type Three Definitions, Format, and Record Layout Input Control Data Record for COBOL Program Output of COBOL Edit of Transactions Universe File Definition of the BQC Population (Sampling Frame) Sample Selection Process Data Processing Record Format for Record Type One Definition and Data Format for Record Type Two Formatting Data for Transfer to the Artecon/Sun Computer	III-1 III-1 III-2 III-11 III-19 III-20 III-25 III-26 III-30 III-35 III-38
Chapter IV. Data Collection Introduction Overview Data Elements and Descriptions	V-1 IV-1 IV-2
Chapter V. Classifying Propriety of Payments Introduction Coding Proper Payments Coding Improper Payments Key Week Error Summary Sheet Case Completion Reopening Cases	V-1 V-1 V-2 V-11 V-23 V-24
Chapter VI. Investigative Procedures Introduction General Investigative Requirements Investigative Guide Forms Fact-Finding Statements Claimant Interview Work Search Contact Interviews Employer Interviews Disqualifying/Deductible Income Verifications Other Third Party Verifications Dependency Eligibility Verifications UCFE UCX Interstate Requests Summary of Investigation Appeals Completion of Cases and Timely Data Entry Reopening Cases	VI-1 VI-1 VI-2 VI-2 VI-3 VI-3 VI-4 VI-4 VI-4 VI-5 VI-5 VI-5 VI-5 VI-6 VI-6 VI-7 VI-7 VI-8
Chapter VII. Records and Reporting Introduction Documentation Retention of Records Reporting	VII-1 VII-1 VII-1 VII-1
APPENDICES Regulation Claimant Questionnaire Investigative Guide