What Are Red Flags?

In the CUSP system, red flags are indicators that something in provider data may require closer review. They don't automatically mean there's a problem. Instead, they highlight patterns or unusual activity that could signal a compliance, safety, or quality concern.

As a trusted child care provider red flags analytics platform, CUSP's automated child care red flag scoring software surfaces child care provider unusual activity pattern analytics- including child care provider unusual billing patterns, child care attendance documentation compliance gaps, and child care billing anomaly detection signals- so agencies can take proactive steps before issues escalate. By spotting potential issues early, agencies can ensure providers are operating within guidelines and that families receive safe, consistent care.

Risk and Audit

Give your program integrity and audit teams a fair, defensible, data-driven way to strengthen accountability, improve operational efficiency, and make the most of limited oversight resources.

What you can do with CUSP Risk and Audit

Risk and Audit brings together data from multiple programs into one operational system — eliminating duplication, streamlining reviews, and supporting faster, more confident oversight decisions.

Identify and prioritize risk

Quickly see which providers require attention 

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    Data-driven risk assessments
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    Intuitive filtering and prioritization
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    Focused use of oversight resources

Understand why a provider is flagged

Go beyond the risk score to see the evidence and factors behind it — no black-box scoring.

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    Provider-level insights
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    Evidence behind the score and key risk drivers
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    Transparent, explainable scoring

Track trends over time

Monitor changes and patterns in provider behavior to spot emerging issues before they escalate.
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    Trend analysis
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    Historical comparisons
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    Early warning indicators

Act with confidence

Support oversight decisions with consistent, objective data. 
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    Evidence-based reviews
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    Repeatable processes
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    Defensible decision-making
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What Are Red Flags? 🚩

Red flags are indicators that a provider may require closer review.

A red flag does not automatically mean there's a problem. Instead, it highlights patterns or unusual activity—such as an anomaly in billing patterns or attendance—that could signal a compliance, safety, or quality concern.

By spotting potential issues early, Risk and Audit helps program integrity and audit teams take a proactive approach to oversight, support consistent program operations, and ensure children receive safe, consistent care.

Stronger Oversight. Smarter Decisions. Better Outcomes.

When oversight is data-driven and consistent, state agencies see measurable results:
reduced risk exposure, stronger fiscal accountability, and more efficient use of oversight staff.

With Risk and Audit, agencies can:

  • Prevent fraud, waste, and abuse through proactive, data-driven monitoring of program and payment activity
  • Strengthen readiness for federal and state reviews, including Office of Inspector General (OIG) audits of CCDF and other federally funded programs
  • Maintain child care payment accuracy and compliance
  • Maximize limited oversight resources by prioritizing reviews based on risk
  • Scale oversight without increasing staff burden
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Why It Matters

Child care agencies face mounting pressure to do more oversight with fewer resources. Traditional review processes rely on disconnected systems and manual analysis, often leaving critical risks undetected until they become costly problems.

Risk and Audit helps program integrity and audit teams do more with the capacity they have by automating risk identification, focusing reviews where they are most needed, and bringing critical data into a single view. Instead of spending time searching for information, oversight teams can focus on investigating and taking action.  

The result is a more efficient, transparent, and proactive approach to program integrity. 

Frequently Asked Questions

What is CUSP Risk & Audit?

CUSP Risk & Audit is a risk scoring and program integrity tool from 3Si for state agencies that administer child care programs, including CCDF-funded subsidy programs. It combines billing, attendance, and compliance data into one system, scores each provider's risk, and flags unusual patterns so program integrity and audit teams can focus limited staff time where it matters most.

What is a red flag in Risk & Audit, and does it mean fraud?

A red flag is an indicator that a child care provider's data shows a pattern worth a closer look, such as a billing anomaly, unusual attendance, or gaps in attendance documentation. A red flag does not mean fraud has occurred. It helps teams triage with context, so providers operating within the rules aren't burdened with unnecessary reviews.

How does Risk & Audit decide which providers to review first?

Risk & Audit scores every enrolled provider using a standardized method based on billing history, attendance trends, and compliance records, then ranks providers by risk so the highest-risk cases get attention first. Each score shows the evidence and key factors behind it, with no black-box scoring, so reviewers can explain and defend their decisions.

How does Risk & Audit help with CCDF and OIG audit readiness?

Risk & Audit helps agencies prepare for federal and state reviews, including Office of Inspector General (OIG) audits of CCDF programs, by catching issues before they become audit findings. It flags duplicate payment patterns, attendance anomalies, and documentation gaps, and it keeps consistent, documented audit trails that show due diligence.

How is Risk & Audit different from child care fraud detection software?

Most child care fraud detection tools look only at payment anomalies within a single program, while Risk & Audit covers licensing, subsidy, and quality programs in one view. It supports the full oversight process, from risk assessment through review and corrective action, rather than just flagging individual transactions.

Can Risk & Audit spot problems before they escalate?

Yes. Risk & Audit tracks provider risk continuously and compares current activity against historical patterns, so it can warn teams when a provider's behavior starts shifting. That lets agencies step in earlier instead of discovering problems during a point-in-time review.

Is Risk & Audit secure enough for sensitive child and family data?

Yes. Risk & Audit runs on the 3Si platform, built on Microsoft Azure, where each state's data is isolated in its own environment, encrypted at rest and in transit, and monitored 24/7.

Ready to put limited staff time where it can make the most difference?

Request a demo to learn how Risk and Audit can support your oversight and compliance teams.