Time Lapse and Quality Measures for Unemployment Insurance ... · United States Department of Labor...

United States Department of LaborUnemployment Insurance Service

OMB Approval No. 1205-0359Exp. Date: 09/30/98

1

Time Lapse and Quality Measures

for

Unemployment Insurance Benefits Operations

Table of Contents

Chapter I INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Chapter II UNIVERSE MEASURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32.1. First Payment Time Lapse, Tier I . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42.2. First Payment Time Lapse, Partial/Part Total Claims, Tier II . . . . . . . 62.3. First Payment Time Lapse, Workshare Claims, Tier II . . . . . . . . . . . . 82.4. Continued Weeks Compensated Time Lapse, Tier II . . . . . . . . . . . . 102.5. Continued Weeks Compensated Time Lapse, Partial Part/Total,

Tier II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122.6. Continued Weeks Compensated Time Lapse, Workshare, Tier II . . 142.7. Nonmonetary Determinations Time Lapse, Tier I . . . . . . . . . . . . . . . 162.8. Nonmonetary Determinations Time Lapse, Report Only . . . . . . . . . 202.9. Lower Authority Appeals Time Lapse, Tier I . . . . . . . . . . . . . . . . . . . 242.10. Lower Authority Appeals Case Aging, Tier II . . . . . . . . . . . . . . . . . . 262.11. Higher Authority Appeals Time Lapse, Tier I . . . . . . . . . . . . . . . . . . 282.12. Higher Authority Appeals Case Aging, Tier II . . . . . . . . . . . . . . . . . . 302.13. Combined Wage Claims - Wage Transfer Time Lapse, Tier II . . . . . 322.14. Combined Wage Claims - Billing Time Lapse, Tier II . . . . . . . . . . . 332.15. Combined Wage Claims - Reimbursement Time Lapse Tier II . . . . 34

Chapter III SAMPLE MEASURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 353.1. Nonmonetary Determination Quality, Tier I . . . . . . . . . . . . . . . . . . . 363.2. Lower Authority Appeals Quality, Tier I . . . . . . . . . . . . . . . . . . . . . . . 423.3. Lower Authority Appeals Quality, Due Process, Tier II . . . . . . . . . . . 503.4. Nonmonetary Determination Implementation Time Lapse, Tier II . . . 513.5. Lower Authority Decision Implementation Time Lapse A. (Reversals or

modifications from deny to pay). Tier II . . . . . . . . . . . . . . . . . . . . . . 523.6. Lower Authority Decision Implementation Time Lapse B (Reversals or

modifications from pay to deny). Tier II. . . . . . . . . . . . . . . . . . . . . . . 53

OMB Approval No. 1205-0359 2/961

Chapter I INTRODUCTION

This document presents the performance measures selected by the UnemploymentInsurance Service for implementation as a part of UI Performs, a comprehensivequality and performance oversight system. The UI Performs system will track programoperations information through UI required reports (UIRR), benefits accuracy and taxperformance measures, (BQC and RQC), and new UI Time Lapse and QualityMeasures for UI Benefits Operation, which will replace the Quality Appraisal (QA). Thenew measures are designated as Tier I (measures which may be benchmarked withnational standards) and Tier II (measures of performance which will not bebenchmarked with national standards, but will be used in State continuousimprovement planning).

Various provisions of Federal law require that certain UI activities be performedpromptly and accurately. Section 303(a)(1) of the Social Security Act (SSA) requires,as a condition of a State's receiving UI administrative grants, "[s]uch methods ofadministration...as are reasonably calculated to insure full payment of unemploymentcompensation when due." The new measures improve the performance measurementsystem in several ways. First, all of the time lapse measures are based on universedata from automated records rather than on samples, except for the implementationtime lapse measurements for nonmonetary determinations and lower authority appeals. Second, definitions include a wider universe for measurement. Moreover, the additionalmeasures provide information about performance not previously reviewed, includingcontinued weeks time lapse and the age of pending appeals cases.

All of the new time lapse measures call for reporting of extended intervals to allowanalysis of the distribution of benefit activities. States will report time lapse datamonthly to the National Office, where it will be maintained as part of the UnemploymentInsurance Required Reports system. SESAs will be able to use the new range of datafor internal program assessment and to monitor their continuous performanceimprovement programs.

Two measures based on samples track the quality of SESA claims activity. Thesamples are drawn from the time lapse universes of nonmonetary determinations andlower authority appeals. The State automated system furnishes information about therecords selected for review, including the date of the nonmonetary determination, theprogram, and the issue. Then, the quality reviewer adds information during the reviewprocess, including scores for quality criteria and the date that the result of thenonmonetary determination or appeal decision was applied to the claim. When thereview data is complete, State staff will enter it into UIRR, and the automated system


will generate scores for individual records and overall scores for quarterly Stateperformance.

Quality scores for nonmonetary determinations will closely resemble those reportedthrough the QA process, with additional weight given to the quality of the writtendetermination. For lower authority appeals, the automated system will generate twoquality scores for each record. The first will be the score for the overall process, asreported through QA, and the second will focus on those elements of the process whichare required to afford the claimant due process.

Implementation time lapse is important because SESA activity is not complete until theState acts to apply the results of decisions to claims. Implementation time lapse will bemeasured for nonmonetary determinations and lower authority appeals.

The following table lists the benefits time lapse and quality measures with theirdesignations as Tier I or Tier II.

Table IPerformance Measurement Tiers

Tier I Tier II

First Payment Time Lapse First Payment Time Lapse, Partial/ Part Total

First Payment Time Lapse, Workshare

Continued Claims Time Lapse

Continued Claims Time Lapse, Partial/Part Total

Continued Claims Time Lapse, WorkshareNonmonetary Determination Time Lapse, Detection

Nonmonetary Determination Implementation Time

Lower Authority Appeals Case AgingLower Authority Appeals Time Lapse Lower Authority Appeals Implementation Time

Lower Authority Appeals Implementation Time

Higher Authority Appeals Time Lapse

Higher Authority Appeals Case Aging

Combined Wage Time Lapse - Wage Transfer

Combined Wage Time Lapse - Billing

Combined Wage Time Lapse - Reimbursement

Nonmonetary Determination QualityLower Authority Appeals Quality Lower Authority Appeals Quality, Due Process


Chapter II UNIVERSE MEASURES

This Chapter provides data reporting requirements for time lapse and case agingmeasures based on universe data. This information is derived from computertransactions reflecting agency activity during the specified reporting period. Programmanagers will find exact descriptions of all measures in the following pages, and dataprocessing experts will find appropriate maps to the new reporting requirements in thematrices accompanying each measure description.

The Tier I nonmonetary time lapse measure reflects the promptness of that part of thenonmonetary process which is most within the control of the State agency, bymeasuring the time between issue detection and the date on a nonmonetarydetermination. It eliminates the need to identify controllable and uncontrollableelements in the process by focussing on the controllable elements. An additional reportof time lapse from the week ending date of the first week affected by a determination tothe detection of the issue addresses a difficulty of the nonmonetary time lapsemeasure. The difficulty is the precise identification in an automated system of the exactpoint when the agency identified an issue. Very long time lapse results in this datamight indicate that a State agency should examine its methods for detecting issues.

The definitions for reporting requirements in ETA Handbook No. 401 apply in thisdocument with two exceptions. The population for the measurement of first paymenttime lapse is changed to include partial and part-total payments. The definition ofnonmonetary determinations has been changed and will result in the inclusion offormerly noncountable determinations.

Whether or not a week is claimed, a nonmonetary determination must meet thefollowing criteria to be valid:

1. An issue was detected which had the potential to affect the claimant'spast, present, or future benefit rights, and

2. A determination of eligibility was made.

These instructions will be reissued in a slightly different format as a part of ETHandbook 401, UI Reports Handbook. This document presents the reportingrequirements in the format used since the end of the first phase of the project. Statesshould begin necessary programming changes using these instructions and not wait forthe changes to Handbook 401, since the reporting requirements will be the same.

Benefits Time Lapse Measures


First Payment Time Lapse, Tier I

Measure: The number of days from the week ending date of the firstcompensable week in the benefit year to the date thepayment is mailed or offset or intercept applied on a claim. States determine mail date and provide DOL with theprocedure used to derive it. When multiple weeks are paidat the same time, the earliest week should be reported asthe first payment.

Includes total, partial/part-total and transitional payments.Includes Combined Wage Claim payments reported in theappropriate category determined by the nature of the baseperiod wages.Includes offsets and intercepts.

Excludes episodic claims such as EB, DUA and TRA.Excludes Workshare claims.Excludes retroactive payment for compensable waitingperiod.

Data Source: Universe of first payments.

Computation: Start date: week ending date of first compensable week.End date: date check was mailed or offset or interceptapplied.

Reporting Intervals: <=7, 14, 21, 28, 35, 42, 49, 56, 63, 70, >70 days

ReportingCategories: Report separately for:

- Intrastate UI, UCFE, UCX.- Interstate UI, UCFE, UCX.

Reporting Frequency: Monthly.



Matrix 2.1Time Lapse of all First Payments Except Workshare

INTRA-STATE INTER-STATE

Total UI UCFE UCX Total UI UCFE UCX

Totals C1

C2

C3

C4

C5

C6

C7

C8

<= 7 C9

C10

C11

C12

C13

C14

C15

C16

8-14 C17

C18

C19

C20

C21

C22

C23

C24

15-21 C25

C26

C27

C28

C29

C30

C31

C32

22-28 C33

C34

C35

C36

C37

C38

C39

C40

29-35 C41

C42

C43

C44

C45

C46

C47

C48

36-42 C49

C50

C51

C52

C53

C54

C55

C56

43-49 C57

C58

C59

C60

C61

C62

C63

C64

50-56 C65

C66

C67

C68

C69

C70

C71

C72

57-63 C73

C74

C75

C76

C77

C78

C79

C80

64-70 C81

C82

C83

C84

C85

C86

C87

C88

> 70 C89

C90

C91

C92

C93

C94

C95

C96



First Payment Time Lapse, Partial/Part Total Claims, Tier II

Measure: The number of days from the week ending date of the firstcompensable week in the benefit year to the date thepayment is mailed or offset or intercept applied on a claim inwhich the weekly benefit amount has been reduced bywages applied.

Partial/part total first payments is a sub-set of the firstpayments reported in Matrix 2.1, above.

Includes transitional claim payments.Includes Combined Wage Claim payments reported in theappropriate category determined by the nature of the baseperiod wages.Includes offsets and intercepts.

Excludes episodic claims such as EB, DUA and TRA.Excludes Workshare claims.Excludes retroactive payment for compensable waitingperiod.




Reporting Categories: Report separately for:


ReportingFrequency: Monthly.



Matrix 2.2Time Lapse of Partial and Part Total First Payments



Totals C1

C2

C3

C4

C5

C6

C7

C8

< = 7 C9

C10

C11

C12

C13

C14

C15

C16

8-14 C17

C18

C19

C20

C21

C22

C23

C24

15-21 C25

C26

C27

C28

C29

C30

C31

C32

22-28 C33

C34

C35

C36

C37

C38

C39

C40

29-35 C41

C42

C43

C44

C45

C46

C47

C48

36-42 C49

C50

C51

C52

C53

C54

C55

C56

43-49 C57

C58

C59

C60

C61

C62

C63

C64

50-56 C65

C66

C67

C68

C69

C70

C71

C72

57-63 C73

C74

C75

C76

C77

C78

C79

C80

64-70 C81

C82

C83

C84

C85

C86

C87

C88

> 70 C89

C90

C91

C92

C93

C94

C95

C96


OMB Approval No. 1205-0359 2/9610

First Payment Time Lapse, Workshare Claims, Tier II

Measure: The number of days from the week ending date of the firstcompensable week in the benefit year to the date thepayment is mailed or offset or intercept applied on a claimidentified as Workshare.

Excludes episodic claims such as EB, DUA and TRA.Excludes retroactive payment for compensable waitingperiod.



Reporting Intervals: <=7, 14, 21, 28, 35, 42, 49, 56, 63, 70, >70 days.

ReportingCategories: None.



OMB Approval No. 1205-0359 2/9611

Matrix 2.3First Payment Time Lapse, Workshare Claims

Workshare Claims

Total C1

0 - 7 C2

8 - 14 C3

15 - 21 C4

22 - 28 C5

29 - 35 C6

36 - 42 C7

43 - 49 C8

50 - 56 C9

57 - 63 C10

64 - 70 C11

> 70 C12


OMB Approval No. 1205-0359 2/9612

Continued Weeks Compensated Time Lapse, Tier II

Measure: The number of days from the end of the continued week tothe date the payment is mailed or offset or intercept appliedon a claim.

Applies to weeks compensated subsequent to the firstcompensable week in the benefit year.

Includes total, partial/part total claims.Includes Combined Wage Claims reported in the appropriatecategory determined by the nature of the base periodwages.Includes offsets and intercepts.

Excludes episodic claims such as EB, DUA and TRA.Excludes adjusted payments. Excludes Workshare claims.Excludes retroactive payment for compensable waitingperiod.

Data Source: Universe of continued weeks paid

Computation: Start date: week ending date of each week for which aclaim was filed.End date: date payment was mailed or offset or interceptapplied.

ReportingIntervals: <=7, 14, 21, 28, 35, 42, 49, 56, 63, 70, >70 days





OMB Approval No. 1205-0359 2/9613


OMB Approval No. 1205-0359 2/9614

Matrix 2.4Time Lapse Counts for All Continued Weeks Compensated



Totals C1

C2

C3

C4

C5

C6

C7

C8

< = 7 C9

C10

C11

C12

C13

C14

C15

C16

8-14 C17

C18

C19

C20

C21

C22

C23

C24

15-21 C25

C26

C27

C28

C29

C30

C31

C32

22-28 C33

C34

C35

C36

C37

C38

C39

C40

29-35 C41

C42

C43

C44

C45

C46

C47

C48

36-42 C49

C50

C51

C52

C53

C54

C55

C56

43-49 C57

C58

C59

C60

C61

C62

C63

C64

50-56 C65

C66

C67

C68

C69

C70

C71

C72

57-63 C73

C74

C75

C76

C77

C78

C79

C80

64-70 C81

C82

C83

C84

C85

C86

C87

C88

> 70 C89

C90

C91

C92

C93

C94

C95

C96


OMB Approval No. 1205-0359 2/9615

Continued Weeks Compensated Time Lapse, Partial Part/Total, TierII

Measure: The number of days from the end of the continued week tothe date the payment is mailed or offset or intercept appliedon a claim in which the weekly benefit amount has beenreduced by wages applied.


Excludes payments on episodic claims such as EB, DUAand TRA.Excludes workshare.Excludes retroactive payment for compensable waitingperiod.Excludes adjusted payments.

Data Source: Universe of payments.

Computation: Start date: week ending date of each week for which claimwas filed.End date: date payment was mailed or offset or interceptapplied.






OMB Approval No. 1205-0359 2/9616

Matrix 2.5Time Lapse for Continued Weeks: Partial/Part Total Payments



Totals C1

C2

C3

C4

C5

C6

C7

C8

<=7 C9

C10

C11

C12

C13

C14

C15

C16

8-14 C17

C18

C19

C20

C21

C22

C23

C24

15-21 C25

C26

C27

C28

C29

C30

C31

C32

22-28 C33

C34

C35

C36

C37

C38

C39

C40

29-35 C41

C42

C43

C44

C45

C46

C47

C48

36-42 C49

C50

C51

C52

C53

C54

C55

C56

43-49 C57

C58

C59

C60

C61

C62

C63

C64

50-56 C65

C66

C67

C68

C69

C70

C71

C72

57-63 C73

C74

C75

C76

C77

C78

C79

C80

64-70 C81

C82

C83

C84

C85

C86

C87

C88

> 70 C89

C90

C91

C92

C93

C94

C95

C96


OMB Approval No. 1205-0359 2/9617


OMB Approval No. 1205-0359 2/9618

Continued Weeks Compensated Time Lapse, Workshare, Tier II

Measure: The number of days from the end of the continued week tothe date the payment is mailed or offset or intercept appliedon a claim identified as Workshare.


Excludes episodic claims such as EB, DUA and TRA.Excludes retroactive payment for compensable waitingperiod.

Data Source: Universe of payments.

Computation: Start date: week ending date of each week for which claimwas filed.End date: date payment was mailed or offset or interceptapplied.





OMB Approval No. 1205-0359 2/9619

Matrix 2.6Continued Weeks Time Lapse for Workshare Payments

Workshare Claims

Total C1

0 - 7 C2

8 - 14 C3

15 - 21 C4

22 - 28 C5

29 - 35 C6

36 - 42 C7

43 - 49 C8

50 - 56 C9

57 - 63 C10

64 - 70 C11

> 70 C12


OMB Approval No. 1205-0359 2/9620

Nonmonetary Determinations Time Lapse, Tier I

Measure: The number of days from the date an issue is first detectedon a claim to the date on the determination.

Includes the universe of nonmonetary determinations madeduring the month.Includes BPC-generated nonmonetary determinations.

Excludes episodic claims such as EB, DUA and TRA.Excludes BPC crossmatch.

Data Source: Universe of nonmonetary determinations.Note: The population identified for this measure must beidentical with the population used in Matrix 2.8.

Computation: Start date: date the issue was first detected by the agency.

End date: date on the determination, or, if no writtendetermination is required, the date payment is authorized orthe claimant's record is updated with the outcome, waitingweek credit is given, or an offset is applied.



- Intrastate UI, UCFE, UCX - Seps & Nonseps- Interstate UI, UCFE, UCX - Seps & Nonseps- Multi-Claimant: Labor Dispute and "Other"



OMB Approval No. 1205-0359 2/9621

Matrix 2.7 (a)Nonmonetary Determination Time Lapse from

Detection Date to Determination DateSEPARATION ISSUES



Totals C1

C2

C3

C4

C5

C6

C7

C8

< = 7 C9

C10

C11

C12

C13

C14

C15

C16

8-14 C17

C18

C19

C20

C21

C22

C23

C24

15-21 C25

C26

C27

C28

C29

C30

C31

C32

22-28 C33

C34

C35

C36

C37

C38

C39

C40

29-35 C41

C42

C43

C44

C45

C46

C47

C48

36-42 C49

C50

C51

C52

C53

C54

C55

C56

43-49 C57

C58

C59

C60

C61

C62

C63

C64

50-56 C65

C66

C67

C68

C69

C70

C71

C72

57-63 C73

C74

C75

C76

C77

C78

C79

C80

64-70 C81

C82

C83

C84

C85

C86

C87

C88

> 70 C89

C90

C91

C92

C93

C94

C95

C96


OMB Approval No. 1205-0359 2/9622

Matrix 2.7 (b)Nonmonetary Determination Time Lapse from

Detection Date to Determination DateNON-SEPARATION ISSUES



Totals C97

C98

C99

C100

C101

C102

C103

C104

< = 7 C105

C106

C107

C108

C109

C110

C111

C112

8-14 C113

C114

C115

C116

C117

C118

C119

C120

15-21 C121

C122

C123

C124

C125

C126

C127

C128

22-28 C129

C130

C131

C132

C133

C134

C135

C136

29-35 C137

C138

C139

C140

C141

C142

C143

C144

36-42 C145

C146

C147

C148

C149

C150

C151

C152

43-49 C153

C154

C155

C156

C157

C158

C159

C160

50-56 C161

C162

C163

C164

C165

C166

C167

C168

57-63 C169

C170

C171

C172

C173

C174

C175

C176

64-70 C177

C178

C179

C180

C181

C182

C183

C184

> 70 C185

C186

C187

C188

C189

C190

C191

C192


OMB Approval No. 1205-0359 2/9623

Matrix 2.7 (c)Nonmonetary Determination Time Lapse from

Week Ending Date to Detection DateMULTI-CLAIMANTS

TOTALMULTI-CLAIMANTLABOR DISPUTES

MULTI-CLAIMANT"OTHER"

Total C193

C194

C195

< = 7 C196

C197

C198

8 - 14 C199

C200

C201

15 - 21 C202

C203

C204

22 - 28 C205

C206

C207

29 - 35 C208

C209

C210

36 - 42 C211

C212

C213

43 - 49 C214

C215

C216

50 - 56 C217

C218

C219

57 - 63 C220

C221

C222

64 - 70 C223

C224

C225

> 70 C226

C227

C228


OMB Approval No. 1205-0359 2/9624

Nonmonetary Determinations Time Lapse, Report Only

Measure: The days from the week ending date of the first affectedweek to the date on which the agency first detects an issue.

Includes the universe of nonmonetary determinations madeduring the month.Includes BPC-generated nonmonetary determinations.

Excludes episodic claims such as EB, DUA and TRA.Excludes BPC crossmatch.

Data Source: Universe of nonmonetary determinations mailed in thereporting month.Note: The population identified for this measure must beidentical with the population used in Matrix 2.7.

Computation: Start date: the week ending date of the first week of theclaim which is potentially affected by the determination.End date: the date the issue was first detected by theagency.



- Intrastate UI, UCFE, UCX - Seps & Nonseps- Interstate UI, UCFE, UCX - Seps & Nonseps- Multi-Claimant: Labor Dispute and "Other"

Reporting Frequency: Monthly.


OMB Approval No. 1205-0359 2/9625

Matrix 2.8 (a)Nonmonetary Determination Time Lapse from

Week Ending Date to Detection DateSEPARATION ISSUES



Totals C1

C2

C3

C4

C5

C6

C7

C8

< = 7 C9

C10

C11

C12

C13

C14

C15

C16

8-14 C17

C18

C19

C20

C21

C22

C23

C24

15-21 C25

C26

C27

C28

C29

C30

C31

C32

22-28 C33

C34

C35

C36

C37

C38

C39

C40

29-35 C41

C42

C43

C44

C45

C46

C47

C48

36-42 C49

C50

C51

C52

C53

C54

C55

C56

43-49 C57

C58

C59

C60

C61

C62

C63

C64

50-56 C65

C66

C67

C68

C69

C70

C71

C72

57-63 C73

C74

C75

C76

C77

C78

C79

C80

64-70 C81

C82

C83

C84

C85

C86

C87

C88


OMB Approval No. 1205-0359 2/9626

> 70 C89

C90

C91

C92

C93

C94

C95

C96

Matrix 2.8 (b)Nonmonetary Determination Time Lapse from

Week Ending Date to Detection DateNON-SEPARATION ISSUES



Totals C97

C98

C99

C100

C101

C102

C103

C104

< = 7 C105

C106

C107

C108

C109

C110

C111

C112

8-14 C113

C114

C115

C116

C117

C118

C119

C120

15-21 C121

C122

C123

C124

C125

C126

C127

C128

22-28 C129

C130

C131

C132

C133

C134

C135

C136

29-35 C137

C138

C139

C140

C141

C142

C143

C144

36-42 C145

C146

C147

C148

C149

C150

C151

C152

43-49 C153

C154

C155

C156

C157

C158

C159

C160

50-56 C161

C162

C163

C164

C165

C166

C167

C168

57-63 C169

C170

C171

C172

C173

C174

C175

C176


OMB Approval No. 1205-0359 2/9627

64-70 C177

C178

C179

C180

C181

C182

C183

C184

> 70 C185

C186

C187

C188

C189

C190

C191

C192


OMB Approval No. 1205-0359 2/9628

Matrix 2.8 (c)Nonmonetary Determination Time Lapse from

Week Ending Date to Detection DateMULTI-CLAIMANTS

TOTALMULTI-CLAIMANTLABOR DISPUTES

MULTI-CLAIMANT"OTHER"

Total C193

C194

C195

< = 7 C196

C197

C198

8 - 14 C199

C200

C201

15 - 21 C202

C203

C204

22 - 28 C205

C206

C207

29 - 35 C208

C209

C210

36 - 42 C211

C212

C213

43 - 49 C214

C215

C216

50 - 56 C217

C218

C219

57 - 63 C220

C221

C222

64 - 70 C223

C224

C225

> 70 C226

C227

C228


OMB Approval No. 1205-0359 2/9629

Lower Authority Appeals Time Lapse, Tier I

Measure: The number of days from the date the request for hearing isfiled to the date on the decision.

Includes remanded and reopened cases. If a case isremanded from higher authority appeals for a new hearingand decision by the lower authority, time lapse begins on thedate the case is remanded from the higher authority .

Excludes episodic claims such as EB, DUA and TRA.

Data Source: Universe of lower authority appeals decisions.

Computation: Start date: date the appeal is filed.End date: date on the decision.

ReportingIntervals: <=30, 45, 60, 75, 90, 120, >120 days.


- Intrastate - Interstate



OMB Approval No. 1205-0359 2/9630

Matrix 2.9Lower Authority Appeals Time Lapse

TOTALIntra-State

Inter-State

TOTAL C1

C2

C3

<=30

C4

C5

C6

31-45

C7

C8

C9

46-60

C10

C11

C12

61-75

C13

C14

C15

76-90

C16

C17

C18

91-120 C19

C20

C21

>120

C22

C23

C24


OMB Approval No. 1205-0359 2/9631

Lower Authority Appeals Case Aging, Tier II

Measure: This measure provides an inventory of lower authorityappeals which have been filed but not resolved. Theuniverse of appeals included in this measure is all lowerauthority appeals which are not resolved at the end of themonth covered by the report.

Case aging provides information about the number of daysfrom the time an appeal is filed and the end of the monthcovered by the report.

Includes all appeals filed and not decided at the end of themonth.Includes cases remanded by higher authority for a newhearing and decision.


Data Source: Universe of lower authority appeals.

Computation: Start date: the date the appeal is filed.End date: the end of the month being reported.

ReportingIntervals: <=25, 40, 90, 120, 180, 360, >360

Reporting Categories: None.



OMB Approval No. 1205-0359 2/9632

Matrix 2.10Lower Authority Appeals Case Aging

Appeals

Total C1

0 - 25 C2

26 - 40 C3

41 - 90 C4

91 - 120 C5

121 - 180 C6

181 - 360 C7

> 360 C8


OMB Approval No. 1205-0359 2/9633

Higher Authority Appeals Time Lapse, Tier I

Measure: The number of days from the date the request for a higherauthority appeal is filed to the date on the decision.

Include remanded and reopened cases.

If a case is remanded to the lower authority for additionalevidence and then the case is returned, higher authority timelapse measurement continues without interruption.

If a case is remanded to the lower authority for a newhearing and decision, higher authority time lapse stops atthat point.


Data Source: Universe of higher authority appeals decisions

Computation: Start date: date the appeal is filed. End date: date notice of decision is issued

ReportingIntervals: <=45, 60, 75, 90, 120, 150, 180, 210, 240, 270, 300, 330,

360, >360 days


- Intrastate- Interstate



OMB Approval No. 1205-0359 2/9634

Matrix 2.11 Higher Authority Appeals Time Lapse

TOTAL Intra-State Inter-State

TOTAL C 1 C 2 C 3

< = 45 C 4 C 5 C 6

46 - 60 C 7 C 8 C 9

61 - 75 C 10 C 11 C 12

76 - 90 C 13 C 14 C 15

91 - 120 C 16 C 17 C 18

121 - 150 C 19 C 20 C 21

151 - 180 C 22 C 23 C 24

181 - 210 C 25 C 26 C 27

211 - 240 C 28 C 29 C 30

241 - 270 C 31 C 32 C 33

271 - 300 C 34 C 35 C 36

301 - 330 C 37 C 38 C 39

331 - 360 C 40 C 41 C 42

> 360 C 43 C 44 C 45


OMB Approval No. 1205-0359 2/9635

Higher Authority Appeals Case Aging, Tier II

Measure: This measure provides an inventory of higher authority appeals which have been filed but not resolved. Theuniverse of appeals included in this measure is all higherauthority appeals which are not resolved at the end of themonth covered by the report.

Case aging provides information about the number of daysfrom the time an appeal is filed and the end of the monthcovered by the report.

Includes all appeals filed and not resolved at the end of themonth.


Data Source: Universe of higher authority appeals.

Computation:Start date: the date the appeal is filed.End date: the end of the month being reported.

ReportingIntervals: <=40, 70, 120, 180, 360, >360

Reporting Categories: None.



OMB Approval No. 1205-0359 2/9636

Matrix 2.12Higher Authority Appeals Case Aging

Appeals

Total C1

0 - 40 C2

41 - 70 C3

71 - 120 C4

121 - 180 C5

181 - 360 C6

> 360 C7


OMB Approval No. 1205-0359 2/9637

Combined Wage Claims - Wage Transfer Time Lapse, Tier II

Measure: The number of days from the date that the transfer requestis received to the date that the data which completes thetransfer is sent to the paying State.

Note: The data for this measure is collected on the ETA 586report. The interval information is provided here for theconvenience of SESA programmers.

Data Source: Universe of transfers completed during the quarter from thetransferring State's files.

Computation: Start date: date the transfer request is received by thetransferring State.End date: date that the data which completes the transfer issent to the paying State.

ReportingIntervals: <=3, 6, 10, 14, 21, 28, 35, 42, 49, 56, 63, 70, >70 days


ReportingFrequency: Quarterly.


OMB Approval No. 1205-0359 2/9638

Combined Wage Claims - Billing Time Lapse, Tier II

Measure: The number of days from the end of the calendar quarter tothe date that reimbursement requests (billings) were mailedby the paying State to the transferring States.


Data Source: Universe of billings by the paying State for benefits paidduring a given quarter.

Computation: Start date - end of calendar quarterEnd date - date that reimbursement requests were mailed bythe paying State to transferring States.

ReportingIntervals: <=14, 30, 45, 60, 90, >90 days




OMB Approval No. 1205-0359 2/9639

Combined Wage Claims - Reimbursement Time Lapse Tier II

Measure: The number of days from the date that the transferring Statereceives the reimbursement request to the date thatpayment is mailed to the paying State.


Data Source: Universe of reimbursements made by the transferring State.

Computation: Start date - date the transferring State receives thereimbursement request.End date - date payment is mailed to the paying state.

ReportingIntervals: 14, 30, 45, 60, 90, 90+ days.



Benefits Quality Measures

OMB Approval No. 1205-0359 2/9640

Chapter III SAMPLE MEASURES

This chapter provides data reporting requirements for quality measures which derivedata from samples.

PMR will implement varying sample sizes for both nonmonetary determinations andlower authority appeals quality reviews based on the size of activity in each State.

For States where the total population of nonmonetary determinations exceeded100,000 in the prior fiscal year, the quarterly sample size will be 50 separation issuesand 50 nonseparation issues. For States where the population was less than 100,000,the quarterly sample size will be 30 separation issues and 30 nonseparation issues.

For all States that maintain single computer files containing all nonmonetarydeterminations, stratifying the samples by separation and nonseparation issues is doneon the basis of the nonmonetary issue code which is stored with each nonmonetarydetermination record. States should extract two files containing all separation andnonseparation adjudications where the notice date falls into the quarter being sampled. States may then either randomize the files using a mainframe program and select thefirst 30 (or 50) determinations or draw a systematic sample by calculating samplinginterval (universe divided by desired sample size), selecting a random number between1 and the interval number and selecting every nth record to achieve a random sample.

States that do not maintain automated records of nonmonetary determinations mustuse a manual systematic sampling approach by counting the total number ofnonmonetary determinations for the quarter, calculating the sampling interval andmanually selecting the appropriate nonmonetary determinations for review.

For States where the total population of lower authority appeals exceeded 40,000 in theprior fiscal year, the quarterly sample size will be 40 appeals. For States where thetotal population was less than 40,000, sample size will be 20 appeals. Lower authorityappeals quality samples are not stratified.

States which maintain automated records of appeals decisions will draw the quarterlysample using the procedures (random file or systematic sampling method) describedabove for nonmonetary determinations. States which do not maintain automatedrecords of appeals decisions must use a manual systematic sampling approach bycounting the total number of appeals decisions for the quarter, calculating the samplinginterval and manually selecting the appropriate appeals decisions for review.


OMB Approval No. 1205-0359 2/9641

Nonmonetary Determination Quality, Tier I

Measure: Assessment of the adequacy of nonmonetarydeterminations.

Data Source: Sample from the nonmonetary determinations time lapseuniverse for the preceding quarter.

Includes BPC-generated nonmonetary determinations.

Excludes BPC crossmatch.

Computation: Each element scored numerically.


- Intrastate UI, UCFE, UCX - Seps, Nonseps, & Others.- Interstate UI, UCFE, UCX - Seps, Nonseps, & Others.- Multi-claimant: Labor dispute and Others.



OMB Approval No. 1205-0359 2/9642

The data for the nonmonetary determinations quality review are arranged aslisted below. Data items to be downloaded from the automated system atthe time the sample is drawn are in Bold and accompanied by a sequentiallynumbered "S," for skeleton. The remaining fields are completed during thequality evaluation and are entered manually.

Name(label)

Explanation

C1S1

IDENTIFICATION NUMBER -- unique sequentialnumber assigned automatically by the system toidentify the nonmonetary determinations selectedfor review by State random selection software. This number consists of a 5-digit sample sequence# beginning with 00001.


OMB Approval No. 1205-0359 2/9643

C2S2

ISSUE CODEValues:SEPARATION10 - Quit20 - Discharge for Misconduct29 - Other Separation Issue

NON-SEPARATION30 - Able and Available40 - Work Search50 - Disqualifying/Deductible Income60 - Suitable Work70 - Job Service Registration71 - Failure to Apply/Accept Job Referral 72 - Training73 - Profiling: Refusal of Referral80 - School Employee81 - Alien82 - Athlete83 - Unemployed Status84 - Seasonality85 - Removal of Disqualification86 - Crossmatch89 - Other Nonseparation Issues90 - MultiClaimant Labor Dispute99 - MultiClaimant Other

C3CORRECT ISSUE?Values:Y - YesN - No

C4 CORRECTED ISSUE CODEValues:(see C2 for list)


OMB Approval No. 1205-0359 2/9644

C5 INTERSTATE INDICATORValues:Y - YesN - No

C6NONMONETARY DETERMINATION OUTCOMEValues:A - Benefits AllowedD - Benefits Denied

C7 OUTCOME REPORTED CORRECTLY?Values:Y - YesN - No

C8 ADJUDICATOR(4-character code assigned by the State to identifyAdjudicator)

C9S3

WEEK CLAIMEDValues:Y - YesN - No

C10S4

WEEK ENDING DATE of First Week Affected byDeterminationFormat: mmddyyyy

C11 CORRECT WEEK ENDING DATE OF FIRST WEEKAFFECTED?Values:Y - YesN - No

C12 CORRECTED WEEK ENDING DATE OF FIRSTWEEK AFFECTEDFormat: mmddyyyyNull if C11 = Y


OMB Approval No. 1205-0359 2/9645

C13ISSUE DETECTION DATEFormat: mmddyyyy

C14CORRECT ISSUE DETECTION DATE?Values:Y - YesN - No

C15 CORRECTED ISSUE DETECTION DATEFormat: mmddyyyyNull if C14 = Y

C16 CLAIMANT INFORMATIONValues:(A)dequate = 10(I)nadequate = 5(N)ot Obtained = 0(X) Not Applicable = 10

C17 EMPLOYER INFORMATIONValues:(A)dequate = 10(I)nadequate = 5(N)ot Obtained = 0(X) Not Applicable = 10

C18INFORMATION FROM OTHERSValues:(A)dequate = 10(I)nadequate = 5(N)ot Obtained = 0(X) Not Applicable = 10

C19 REBUTTAL OPPORTUNITY PROVIDEDValue:(A)dequate = 10(N)ot Obtained = 0(X) Not Applicable = 10


OMB Approval No. 1205-0359 2/9646

C20LAW/POLICYValues:(A) Meets Law & Policy = 50(Q)uestionable = 30(X) Does Not Meet = 0

C21WRITTEN DETERMINATIONValues:(A)dequate = 10(I)nadequate = 5(X) Completely Wrong = 0(If "X", C20 cannot be = "A")

C22 APPEAL INFORMATION PROVIDEDValues:S - SufficientI - Insufficient

C23 DETERMINATION IMPLEMENTED?Values:Y - YesN - No

C24S5

DATE DETERMINATION ISSUEDFormat: mmddyyyy

C25 DATE DETERMINATION IMPLEMENTEDFormat: mmddyyyy

C26 CASE MATERIAL FOUNDValues:Y - YesN - No


OMB Approval No. 1205-0359 2/9647

Lower Authority Appeals Quality, Tier I

Measure: Assessment of the quality of lower authority appealshearings and decisions.

Includes single and two party appeal hearings.

Excludes withdrawals, dismissals, and episodic claims suchas EB, DUA and TRA.

Data Source: Universe of lower authority appeals.

Computation: Numeric scoring will measure the quality in which thehearing was conducted.


-Intrastate -Interstate -Multiclaimant, Labor Dispute -Multiclaimant, other


OMB Approval No. 1205-0359 2/9648

The data for the lower authority appeals quality review are arranged as listedbelow. Data items to be downloaded from the automated system at the timethe sample is drawn are in Bold and accompanied by a sequentiallynumbered 'S,' for skeleton. The remaining fields are completed during thequality evaluation and are entered manually.

Name Explanation

C1S1

IDENTIFICATION NUMBER -- uniquenumber assigned automatically by thesystem to identify the appealsselected for review by State randomselection software. This numberconsists of a 5-digit sample sequence# beginning with 00001.

C2 INTENT OF DECISIONValues:A - Benefits AllowedD - Benefits Denied

C3 EFFECT ON PRIOR STATUSValues:A - AffirmR - ReverseM - Modify

C4 EXPLANATIONValues:G - Good (6)F - Fair (3)U - Unsatisfactory (0)D - Did Not Occur (6)


OMB Approval No. 1205-0359 2/9649

C5OPENING STATEMENTValues:G - Good (6)F - Fair (3)U - Unsatisfactory (0)

C6EXHIBITSValues:G - Good (6)F - Fair (3)U - Unsatisfactory (0)D - Did Not Occur (6)

C7 WITNESS ORDERValues:G - Good (6)F - Fair (3)U - Unsatisfactory (0)D - Did Not Occur (6)

C8 ORDER OF TESTIMONY OF EACHWITNESSValues:G - Good (3)F - Fair (1)U - Unsatisfactory (0)

C9 QUESTION OWN WITNESSValues:G - Good (9)F - Fair (3)U - Unsatisfactory (0)D - Did Not Occur (9)

C10 CLEAR LANGUAGE by Hearing OfficerValues:G - Good (6)F - Fair (3)U - Unsatisfactory (0)


OMB Approval No. 1205-0359 2/9650

C11 COMPOUND QUESTIONSValues:G - Good (6)F - Fair (3)U - Unsatisfactory (0)

C12CLARIFIED TESTIMONYValues:G - Good (6)F - Fair (3)U - Unsatisfactory (0)D - Did Not Occur (6)

C13 CONFRONTATIONValues:G - Good (9)U - Unsatisfactory (0)D - Did Not Occur (9)

C14 CROSS-EXAMINATIONValues:G - Good (9)F - Fair (3)U - Unsatisfactory (0)D - Did Not Occur (9)

C15 REPETITIVE TESTIMONYValues:G - Good (3)F - Fair (1)U - Unsatisfactory (0)D - Did Not Occur (3)

C16 LEADING QUESTIONSValues:G - Good (6)F - Fair (3)U - Unsatisfactory (0)


OMB Approval No. 1205-0359 2/9651

C17INTERRUPTIONSValues:G - Good (6)F - Fair (3)U - Unsatisfactory (0)D - Did Not Occur (6)

C18"OFF THE RECORD"Values:G - Good (6)F - Fair (3)U - Unsatisfactory (0)D - Did Not Occur (6)

C19 INTERPRETERSValues:G - Good (6)F - Fair (3)U - Unsatisfactory (0)D - Did Not Occur (6)

C20 CONTINUANCEValues:G - Good (3)F - Fair (1)U - Unsatisfactory (0)D - Did Not Occur (3)

C21 CONCLUSION OF HEARINGValues:G - Good (6)F - Fair (3)U - Unsatisfactory (0)

C22 WITHIN SCOPE OF NOTICEValues:G - Good (9)U - Unsatisfactory (0)


OMB Approval No. 1205-0359 2/9652

C23 GRATUITOUS COMMENTSValues:G - Good (6)F - Fair (3)U - Unsatisfactory (0)

C24ATTITUDEValues:G - Good (6)F - Fair (3)U - Unsatisfactory (0)

C25 BIAS AND PREJUDICEValues:G - Good (9)F - Fair (3)U - Unsatisfactory (0)

C26 OBTAIN AVAILABLE EVIDENCEValues:G - Good (9)F - Fair (3)U - Unsatisfactory (0)

C27 ISSUE STATEMENTValues:G - Good (3)U - Unsatisfactory (0)

C28 FINDINGS SUPPORTED BYEVIDENCEValues:G - Good (9)U - Unsatisfactory (0)


OMB Approval No. 1205-0359 2/9653

C29FINDINGS OF FACTValues:G - Good (9)F - Fair (3)U - Unsatisfactory (0)

C30 NECESSARY CONCLUSIONSValues:G - Good (6)U - Unsatisfactory (0)

C31LOGICAL REASONINGValues:G - Good (6)F - Fair (3)U - Unsatisfactory (0)

C32 FORM AND STYLEValues:G - Good (3)F - Fair (1)U - Unsatisfactory (0)

C33 DECISION STATES LEGAL EFFECTValues:G - Good (3)F - Fair (1) U - Unsatisfactory (0)

C34 UNDERSTANDABLE DECISIONValues:G - Good (6)F - Fair (3)U - Unsatisfactory (0)

C35 NOTICE OF HEARINGValues:G - GoodF - FairU - Unsatisfactory


OMB Approval No. 1205-0359 2/9654

C36FURTHER APPEAL RIGHTSValues:G - GoodU - Unsatisfactory

C37S2

DATE DECISION ISSUEDFormat: mmddyyyy

C38 DATE DECISION IMPLEMENTEDFormat: mmddyyyy

C39TIME REQUIRED FOR EVALUATIONValues: (Hours & Minutes, hhmm where hh = 00-24 and where mm = 00-60)

S3 State case docket number5-digit field

S4 Sample DateFormat: mmddyyyy


OMB Approval No. 1205-0359 2/9655

Lower Authority Appeals Quality, Due Process, Tier II

Measure: Assessment of whether or not the quality of due processwas provided in lower authority appeals hearings. The scoreis derived from the pass/fail rating of eight criteria.

Excludes withdrawals, dismissals, and episodic claims suchas EB, DUA and TRA.

Data Source: Sample of appeal decisions (single and two party) issued ina quarter. (Identical to 3.2 lower authority appeals quality.)

Computation: Pass/fail scoring of the eight due process elements todetermine fair and impartial hearing. A case which fails anyone element fails due process. The due process elementsare:

1. Question own witness2. Confrontation3. Cross-examination4. Within scope of notice5. Bias and prejudice6. Obtain available evidence7. Findings supported by evidence, and8. Findings of fact.

ReportingIntervals Uses data reported in 3.2



OMB Approval No. 1205-0359 2/9656

Nonmonetary Determination Implementation Time Lapse, Tier II

Measure: The number of days from the determination date to the datethe outcome is applied to the claim record.

Data Source: Nonmonetary determinations quality sample; Measure 3.1.

Computation: Start date: the date on the determination.End date: date the determination is implemented byapplying the outcome to the claim record.

ReportingCategories: None. Output reports will be generated using the start and

ending dates, will include intervals of 0-1, 2-3, 4-5, 6-7, 8-9,10->10, and may include instances of "negative"implementation time lapse, in which the reported endingdate is earlier than the reported start date.



OMB Approval No. 1205-0359 2/9657

Lower Authority Decision Implementation Time Lapse A. (Reversalsor modifications from deny to pay.) Tier II

Measure: The number of days from the date on a decision whichreverses or modifies a disqualifying determination to datethe payment is mailed. The time lapse is not complete untilall weeks affected by the lower authority decision are paid. If the lower authority reversal does not result in paymentbecause another disqualification remains, time lapse endswhen the claimant record is updated to reflect a decision.

Data Source: Lower authority appeals quality sample

Computation: Start date: the date on the decision.End date: the date payment is issued for all affected weeks.

The implementation time lapse is calculated using four dataelements in the sampled lower authority appeals qualityrecord:

1. C2 - INTENT OF DECISION2. C3 - REVERSAL OF PRIOR STATUS3. C37 - DATE DECISION ISSUED4. C38 - DATE DECISION IMPLEMENTED

ReportingIntervals: The start and ending dates include intervals of 0-1, 2-3, 4-5,

6-7, 8-9, 10->10. Reports will be designed to indicateinstances of "negative" implementation time lapse, in whichthe reported implementation date is earlier than the reporteddecision date.

ReportingCategories: None. Output reports will be generated to show

performance using time lapse measures derived only fromappeal decisions included in the sample.



OMB Approval No. 1205-0359 2/9658


OMB Approval No. 1205-0359 2/9659

Lower Authority Decision Implementation Time Lapse B (Reversalsor modifications from pay to deny). Tier II.

Measure: The number of days from the date a decision is mailed whichreverses or modifies a paying determination to the date theautomated claimant file is updated to record the stoppayment.

Data Source: Lower authority appeals quality sample.

Computation: Start date: the date the decision is issuedEnd date: the date the claimant file is updated to record thestop payment.

The implementation time lapse is calculated using four dataelements in the sampled lower authority appeals Qualityrecord:

1. C2 - INTENT OF DECISION2. C3 - REVERSAL OF PRIOR STATUS3. C37 - DATE DECISION ISSUED4. C38 - DATE DECISION IMPLEMENTED

ReportingIntervals: The start and ending dates and including intervals of 0-1, 2-

3, 4-5, 6-7, 8-9, 10->10. Reports will be designed to indicateinstances of "negative" implementation time lapse, in whichthe reported implementation date is earlier than the reporteddecision date.

ReportingCategories: None. Output reports will be generated to show

performance using time lapse measures derived only fromappeal decisions included in the sample.


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