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Approved Relative provider has a first (1st) time occurrence of care being authorized and paid for a child not reported by the provider as a change of the children in care.

b. IP With Merit –Pursued A determination of IP with merit – pursued is made when the IP payment is an overpayment of $100.00 or more; or the family or provider did not timely report factor(s) of eligibility causing the IP to occur.

c. IP With Merit – Needs Further Investigation A determination of IP with merit – needs further investigation is made when facts of the review identify the family or provider falsified information or omitted information of factor(s) of eligibility that needed to be reported. d. IP Without Merit – Not Pursued A determination of IP without merit – not pursued is made when facts of the review identify the family or provider reported information to another DPA program; or the application of adverse action would not allow for the family’s benefit to have been changed;

2. Submit a claim to the Benefit Issuance and RecoveryUnit(BIRU) for overpayment notification as applicable; and

3. Document the determination made in an ICCIS case note using the standardized template;

4. Save all the information used and applied to make the determination into the electronic IP file to include: information used by the Designee or CCPO; a timeline of actions taken; recalculation as needed to support why it was or was not correct; and the Public Assistance Analyst (PAA) I’s determination. The information documented and saved in the electronic file must be clear so that anyone reviewing can follow what was done, how, and why and should include policy or regulation citation to support the decisions made.

5. Update the applicable fiscal year’s IP Excel tracking spreadsheetin the CCPO shared drive;

6. Copy the information into the Combined Claim Tracking spreadsheet, if an IP is being pursued;