us-co/regulation/10-ccr-2506-1/4.801.2 — Establishing Claims Against Households

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us-co/regulation/10-ccr-2506-1/4.801.2 — Establishing Claims Against Households · Axiom

A. Establishing a claim 1. The local office shall establish claims in accordance with the thresholds outlined below. a. For participating households, the local office shall not establish a claim for overpayment due to Administrative Error (AE) or Inadvertent Household Error

(IHE), except in the following circumstances: 1. When the amount of the claim is greater than $200; or 2. When the over-issuance is identified through a federal or state level quality control review; or, 3. When the IHE claim is being pursued as an IPV, except that if the IHE claim does not result in an IPV, collection shall not be pursued. b. For households not participating in SNAP, the local office shall not establish a claim for over-issuance except in the following circumstances: 1. When the amount of the AE claim is greater than $400; 2. When the amount of the claim is due to an IHE and is greater than $200; or 3. When the over-issuance is identified through a federal or state level quality control review. 4. When an IHE claim is being pursued as an IPV, except that if the IHE claim does not result in an IPV, collection shall not be pursued. 2. An AE or IHE claim shall not be established for a period of more than twelve (12) months from the date the local office was notified, in writing or orally, or discovered through the normal course of business, that an error occurred which led to the household receiving more benefits than it was entitled to receive. A claim associated with an IPV must be calculated back to the month the act of IPV first occurred and cannot be established for a period more than six (6) years from the date the local office was notified, in writing or orally, or discovered through the normal course of business, that an error occurred which led to the household receiving more benefits than it was entitled to receive. 3. Claims shall be established for benefits that are trafficked. The trafficking of benefits means the same as described in 26-2-306, C.R.S. and 7 C.F.R. 271.2, which is incorporated by reference in section 4.000.1, above. 4. Claims shall be established against the following individuals: a. All adult household members aged eighteen (18) years of age or older at the time the over-issuance occurred, even if one or more of the adult household members are participating in another SNAP household at the time the claim is established; and b. A person connected to the household, such as an authorized representative, who traffics SNAP benefits or otherwise causes an over-issuance to occur. B. Timeframe to Establish a Claim Local offices shall establish all claims before the last day of the quarter following the quarter in which the over-issuance or trafficking incident was discovered. 1. The discovery date for AE claims is the date that the local office was notified, in writing or orally, or discovered through the normal course of business that an agency error occurred that caused the household to receive more benefits than it was entitled to receive. 2. The discovery date for IHE and IPV non-trafficking claims shall be the date that verification used to calculate the over-issuance is obtained. 3. The discovery date for claims resulting from trafficking is the date of the court decision or the date the household signed a waiver of administrative disqualification hearing form or a disqualification consent agreement.

in view

Whole section

Encodings · 10

participating_household_ae_ihe_claim_amount_thresholdCO reg. 4.801.2 · parameter

10 CCR 2506-1 section 4.801.2(A)(1)(a)(1)

name: participating_household_ae_ihe_claim_amount_threshold
kind: parameter
dtype: Money
unit: USD
source: 10 CCR 2506-1 section 4.801.2(A)(1)(a)(1)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: amount
        source:
          corpus_citation_path: us-co/regulation/10-ccr-2506-1/4.801.2
          excerpt: When the amount of the claim is greater than $200
versions:
  - effective_from: '2025-10-01'
    formula: '200'

nonparticipating_household_ae_claim_amount_thresholdCO reg. 4.801.2 · parameter

10 CCR 2506-1 section 4.801.2(A)(1)(b)(1)

name: nonparticipating_household_ae_claim_amount_threshold
kind: parameter
dtype: Money
unit: USD
source: 10 CCR 2506-1 section 4.801.2(A)(1)(b)(1)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: amount
        source:
          corpus_citation_path: us-co/regulation/10-ccr-2506-1/4.801.2
          excerpt: When the amount of the AE claim is greater than $400
versions:
  - effective_from: '2025-10-01'
    formula: '400'

nonparticipating_household_ihe_claim_amount_thresholdCO reg. 4.801.2 · parameter

10 CCR 2506-1 section 4.801.2(A)(1)(b)(2)

name: nonparticipating_household_ihe_claim_amount_threshold
kind: parameter
dtype: Money
unit: USD
source: 10 CCR 2506-1 section 4.801.2(A)(1)(b)(2)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: amount
        source:
          corpus_citation_path: us-co/regulation/10-ccr-2506-1/4.801.2
          excerpt: due to an IHE and is greater than $200
versions:
  - effective_from: '2025-10-01'
    formula: '200'

ae_ihe_claim_month_limitCO reg. 4.801.2 · parameter

10 CCR 2506-1 section 4.801.2(A)(2)

name: ae_ihe_claim_month_limit
kind: parameter
dtype: Count
source: 10 CCR 2506-1 section 4.801.2(A)(2)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: parameter
        source:
          corpus_citation_path: us-co/regulation/10-ccr-2506-1/4.801.2
          excerpt: >-
            An AE or IHE claim shall not be established for a period of more
            than twelve (12) months
versions:
  - effective_from: '2025-10-01'
    formula: '12'

ipv_claim_year_limitCO reg. 4.801.2 · parameter

10 CCR 2506-1 section 4.801.2(A)(2)

name: ipv_claim_year_limit
kind: parameter
dtype: Count
source: 10 CCR 2506-1 section 4.801.2(A)(2)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: parameter
        source:
          corpus_citation_path: us-co/regulation/10-ccr-2506-1/4.801.2
          excerpt: cannot be established for a period more than six (6) years
versions:
  - effective_from: '2025-10-01'
    formula: '6'

adult_household_member_age_threshold_for_claim_liabilityCO reg. 4.801.2 · parameter

10 CCR 2506-1 section 4.801.2(A)(4)(a)

name: adult_household_member_age_threshold_for_claim_liability
kind: parameter
dtype: Count
source: 10 CCR 2506-1 section 4.801.2(A)(4)(a)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: parameter
        source:
          corpus_citation_path: us-co/regulation/10-ccr-2506-1/4.801.2
          excerpt: All adult household members aged eighteen (18) years of age or older
versions:
  - effective_from: '2025-10-01'
    formula: '18'

claim_within_allowable_lookbackCO reg. 4.801.2 · derived

10 CCR 2506-1 section 4.801.2(A)(2)

name: claim_within_allowable_lookback
kind: derived
entity: SnapOverissuanceClaim
dtype: Judgment
period: Month
source: 10 CCR 2506-1 section 4.801.2(A)(2)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: formula
        source:
          corpus_citation_path: us-co/regulation/10-ccr-2506-1/4.801.2
      - path: versions[0].formula
        kind: import
        import:
          target: us-co:regulations/10-ccr-2506-1/4.801.2#ae_ihe_claim_month_limit
          output: ae_ihe_claim_month_limit
          hash: sha256:local
      - path: versions[0].formula
        kind: import
        import:
          target: us-co:regulations/10-ccr-2506-1/4.801.2#ipv_claim_year_limit
          output: ipv_claim_year_limit
          hash: sha256:local
versions:
  - effective_from: '2025-10-01'
    formula: >-
      ((claim_associated_with_intentional_program_violation) and
      claim_period_years <= ipv_claim_year_limit)
        or (not (claim_associated_with_intentional_program_violation) and claim_period_months <= ae_ihe_claim_month_limit)

snap_claim_establishment_requiredCO reg. 4.801.2 · derived

10 CCR 2506-1 section 4.801.2(A)(1), 4.801.2(A)(2), and 4.801.2(A)(3)

name: snap_claim_establishment_required
kind: derived
entity: SnapOverissuanceClaim
dtype: Judgment
period: Month
source: 10 CCR 2506-1 section 4.801.2(A)(1), 4.801.2(A)(2), and 4.801.2(A)(3)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: formula
        source:
          corpus_citation_path: us-co/regulation/10-ccr-2506-1/4.801.2
      - path: versions[0].formula
        kind: import
        import:
          target: >-
            us-co:regulations/10-ccr-2506-1/4.801.2#participating_household_ae_ihe_claim_amount_threshold
          output: participating_household_ae_ihe_claim_amount_threshold
          hash: sha256:local
      - path: versions[0].formula
        kind: import
        import:
          target: >-
            us-co:regulations/10-ccr-2506-1/4.801.2#nonparticipating_household_ae_claim_amount_threshold
          output: nonparticipating_household_ae_claim_amount_threshold
          hash: sha256:local
      - path: versions[0].formula
        kind: import
        import:
          target: >-
            us-co:regulations/10-ccr-2506-1/4.801.2#nonparticipating_household_ihe_claim_amount_threshold
          output: nonparticipating_household_ihe_claim_amount_threshold
          hash: sha256:local
      - path: versions[0].formula
        kind: import
        import:
          target: >-
            us-co:regulations/10-ccr-2506-1/4.801.2#claim_within_allowable_lookback
          output: claim_within_allowable_lookback
          hash: sha256:local
versions:
  - effective_from: '2025-10-01'
    formula: |-
      benefits_were_trafficked
      or (
          claim_within_allowable_lookback
          and (
              (
                  household_participating_in_snap
                  and (claim_due_to_administrative_error or claim_due_to_inadvertent_household_error)
                  and (
                      claim_amount > participating_household_ae_ihe_claim_amount_threshold
                      or overissuance_identified_through_federal_or_state_quality_control_review
                      or (claim_due_to_inadvertent_household_error and ihe_claim_being_pursued_as_intentional_program_violation)
                  )
              )
              or (
                  not household_participating_in_snap
                  and (
                      (claim_due_to_administrative_error and claim_amount > nonparticipating_household_ae_claim_amount_threshold)
                      or (claim_due_to_inadvertent_household_error and claim_amount > nonparticipating_household_ihe_claim_amount_threshold)
                      or overissuance_identified_through_federal_or_state_quality_control_review
                      or (claim_due_to_inadvertent_household_error and ihe_claim_being_pursued_as_intentional_program_violation)
                  )
              )
          )
      )

ihe_ipv_collection_pursued_allowedCO reg. 4.801.2 · derived

10 CCR 2506-1 section 4.801.2(A)(1)(a)(3) and 4.801.2(A)(1)(b)(4)

name: ihe_ipv_collection_pursued_allowed
kind: derived
entity: SnapOverissuanceClaim
dtype: Judgment
period: Month
source: 10 CCR 2506-1 section 4.801.2(A)(1)(a)(3) and 4.801.2(A)(1)(b)(4)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: exception
        source:
          corpus_citation_path: us-co/regulation/10-ccr-2506-1/4.801.2
          excerpt: >-
            if the IHE claim does not result in an IPV, collection shall not be
            pursued
versions:
  - effective_from: '2025-10-01'
    formula: |-
      not (
          claim_due_to_inadvertent_household_error
          and ihe_claim_being_pursued_as_intentional_program_violation
          and not ihe_claim_resulted_in_intentional_program_violation
      )

person_subject_to_snap_claimCO reg. 4.801.2 · derived

10 CCR 2506-1 section 4.801.2(A)(4)

name: person_subject_to_snap_claim
kind: derived
entity: Person
dtype: Judgment
period: Month
source: 10 CCR 2506-1 section 4.801.2(A)(4)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: formula
        source:
          corpus_citation_path: us-co/regulation/10-ccr-2506-1/4.801.2
      - path: versions[0].formula
        kind: import
        import:
          target: >-
            us-co:regulations/10-ccr-2506-1/4.801.2#adult_household_member_age_threshold_for_claim_liability
          output: adult_household_member_age_threshold_for_claim_liability
          hash: sha256:local
versions:
  - effective_from: '2025-10-01'
    formula: |-
      (
          person_was_household_member_at_time_overissuance_occurred
          and person_age_at_time_overissuance_occurred >= adult_household_member_age_threshold_for_claim_liability
      )
      or (
          person_connected_to_household
          and (person_trafficked_snap_benefits or person_otherwise_caused_overissuance)
      )

▸rulespec code

Shown source

regulations/10-ccr-2506-1/4.801.2.yaml

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Rules

participating_household_ae_ihe_claim_amount_threshold

Parameter

source: 10 CCR 2506-1 section 4.801.2(A)(1)(a)(1)

- name: participating_household_ae_ihe_claim_amount_threshold
  kind: parameter
  dtype: Money
  unit: USD
  source: 10 CCR 2506-1 section 4.801.2(A)(1)(a)(1)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-co/regulation/10-ccr-2506-1/4.801.2
            excerpt: When the amount of the claim is greater than $200
  versions:
    - effective_from: '2025-10-01'
      formula: '200'

nonparticipating_household_ae_claim_amount_threshold

Parameter

source: 10 CCR 2506-1 section 4.801.2(A)(1)(b)(1)

- name: nonparticipating_household_ae_claim_amount_threshold
  kind: parameter
  dtype: Money
  unit: USD
  source: 10 CCR 2506-1 section 4.801.2(A)(1)(b)(1)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-co/regulation/10-ccr-2506-1/4.801.2
            excerpt: When the amount of the AE claim is greater than $400
  versions:
    - effective_from: '2025-10-01'
      formula: '400'

nonparticipating_household_ihe_claim_amount_threshold

Parameter

source: 10 CCR 2506-1 section 4.801.2(A)(1)(b)(2)

- name: nonparticipating_household_ihe_claim_amount_threshold
  kind: parameter
  dtype: Money
  unit: USD
  source: 10 CCR 2506-1 section 4.801.2(A)(1)(b)(2)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-co/regulation/10-ccr-2506-1/4.801.2
            excerpt: due to an IHE and is greater than $200
  versions:
    - effective_from: '2025-10-01'
      formula: '200'

ae_ihe_claim_month_limit

Parameter

source: 10 CCR 2506-1 section 4.801.2(A)(2)

- name: ae_ihe_claim_month_limit
  kind: parameter
  dtype: Count
  source: 10 CCR 2506-1 section 4.801.2(A)(2)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us-co/regulation/10-ccr-2506-1/4.801.2
            excerpt: >-
              An AE or IHE claim shall not be established for a period of more than twelve (12)
              months
  versions:
    - effective_from: '2025-10-01'
      formula: '12'

ipv_claim_year_limit

Parameter

source: 10 CCR 2506-1 section 4.801.2(A)(2)

- name: ipv_claim_year_limit
  kind: parameter
  dtype: Count
  source: 10 CCR 2506-1 section 4.801.2(A)(2)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us-co/regulation/10-ccr-2506-1/4.801.2
            excerpt: cannot be established for a period more than six (6) years
  versions:
    - effective_from: '2025-10-01'
      formula: '6'

adult_household_member_age_threshold_for_claim_liability

Parameter

source: 10 CCR 2506-1 section 4.801.2(A)(4)(a)

- name: adult_household_member_age_threshold_for_claim_liability
  kind: parameter
  dtype: Count
  source: 10 CCR 2506-1 section 4.801.2(A)(4)(a)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us-co/regulation/10-ccr-2506-1/4.801.2
            excerpt: All adult household members aged eighteen (18) years of age or older
  versions:
    - effective_from: '2025-10-01'
      formula: '18'

claim_within_allowable_lookback

Derived

source: 10 CCR 2506-1 section 4.801.2(A)(2)

- name: claim_within_allowable_lookback
  kind: derived
  entity: SnapOverissuanceClaim
  dtype: Judgment
  period: Month
  source: 10 CCR 2506-1 section 4.801.2(A)(2)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: formula
          source:
            corpus_citation_path: us-co/regulation/10-ccr-2506-1/4.801.2
        - path: versions[0].formula
          kind: import
          import:
            target: us-co:regulations/10-ccr-2506-1/4.801.2#ae_ihe_claim_month_limit
            output: ae_ihe_claim_month_limit
            hash: sha256:local
        - path: versions[0].formula
          kind: import
          import:
            target: us-co:regulations/10-ccr-2506-1/4.801.2#ipv_claim_year_limit
            output: ipv_claim_year_limit
            hash: sha256:local
  versions:
    - effective_from: '2025-10-01'
      formula: >-
        ((claim_associated_with_intentional_program_violation) and claim_period_years <=
        ipv_claim_year_limit)
          or (not (claim_associated_with_intentional_program_violation) and claim_period_months <= ae_ihe_claim_month_limit)

snap_claim_establishment_required

Derived

source: 10 CCR 2506-1 section 4.801.2(A)(1), 4.801.2(A)(2), and 4.801.2(A)(3)

- name: snap_claim_establishment_required
  kind: derived
  entity: SnapOverissuanceClaim
  dtype: Judgment
  period: Month
  source: 10 CCR 2506-1 section 4.801.2(A)(1), 4.801.2(A)(2), and 4.801.2(A)(3)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: formula
          source:
            corpus_citation_path: us-co/regulation/10-ccr-2506-1/4.801.2
        - path: versions[0].formula
          kind: import
          import:
            target: >-
              us-co:regulations/10-ccr-2506-1/4.801.2#participating_household_ae_ihe_claim_amount_threshold
            output: participating_household_ae_ihe_claim_amount_threshold
            hash: sha256:local
        - path: versions[0].formula
          kind: import
          import:
            target: >-
              us-co:regulations/10-ccr-2506-1/4.801.2#nonparticipating_household_ae_claim_amount_threshold
            output: nonparticipating_household_ae_claim_amount_threshold
            hash: sha256:local
        - path: versions[0].formula
          kind: import
          import:
            target: >-
              us-co:regulations/10-ccr-2506-1/4.801.2#nonparticipating_household_ihe_claim_amount_threshold
            output: nonparticipating_household_ihe_claim_amount_threshold
            hash: sha256:local
        - path: versions[0].formula
          kind: import
          import:
            target: us-co:regulations/10-ccr-2506-1/4.801.2#claim_within_allowable_lookback
            output: claim_within_allowable_lookback
            hash: sha256:local
  versions:
    - effective_from: '2025-10-01'
      formula: |-
        benefits_were_trafficked
        or (
            claim_within_allowable_lookback
            and (
                (
                    household_participating_in_snap
                    and (claim_due_to_administrative_error or claim_due_to_inadvertent_household_error)
                    and (
                        claim_amount > participating_household_ae_ihe_claim_amount_threshold
                        or overissuance_identified_through_federal_or_state_quality_control_review
                        or (claim_due_to_inadvertent_household_error and ihe_claim_being_pursued_as_intentional_program_violation)
                    )
                )
                or (
                    not household_participating_in_snap
                    and (
                        (claim_due_to_administrative_error and claim_amount > nonparticipating_household_ae_claim_amount_threshold)
                        or (claim_due_to_inadvertent_household_error and claim_amount > nonparticipating_household_ihe_claim_amount_threshold)
                        or overissuance_identified_through_federal_or_state_quality_control_review
                        or (claim_due_to_inadvertent_household_error and ihe_claim_being_pursued_as_intentional_program_violation)
                    )
                )
            )
        )

ihe_ipv_collection_pursued_allowed

Derived

source: 10 CCR 2506-1 section 4.801.2(A)(1)(a)(3) and 4.801.2(A)(1)(b)(4)

- name: ihe_ipv_collection_pursued_allowed
  kind: derived
  entity: SnapOverissuanceClaim
  dtype: Judgment
  period: Month
  source: 10 CCR 2506-1 section 4.801.2(A)(1)(a)(3) and 4.801.2(A)(1)(b)(4)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: exception
          source:
            corpus_citation_path: us-co/regulation/10-ccr-2506-1/4.801.2
            excerpt: if the IHE claim does not result in an IPV, collection shall not be pursued
  versions:
    - effective_from: '2025-10-01'
      formula: |-
        not (
            claim_due_to_inadvertent_household_error
            and ihe_claim_being_pursued_as_intentional_program_violation
            and not ihe_claim_resulted_in_intentional_program_violation
        )

person_subject_to_snap_claim

Derived

source: 10 CCR 2506-1 section 4.801.2(A)(4)

- name: person_subject_to_snap_claim
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: 10 CCR 2506-1 section 4.801.2(A)(4)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: formula
          source:
            corpus_citation_path: us-co/regulation/10-ccr-2506-1/4.801.2
        - path: versions[0].formula
          kind: import
          import:
            target: >-
              us-co:regulations/10-ccr-2506-1/4.801.2#adult_household_member_age_threshold_for_claim_liability
            output: adult_household_member_age_threshold_for_claim_liability
            hash: sha256:local
  versions:
    - effective_from: '2025-10-01'
      formula: |-
        (
            person_was_household_member_at_time_overissuance_occurred
            and person_age_at_time_overissuance_occurred >= adult_household_member_age_threshold_for_claim_liability
        )
        or (
            person_connected_to_household
            and (person_trafficked_snap_benefits or person_otherwise_caused_overissuance)
        )

▸citations (1)

References

This rule cites 1 other rule.

CO reg. 4.000.1inferredCO › Regulations › Title 10-ccr-2506-1 › § 4.000.1