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Title 7: SNAP Page 9 Iowa Department of Health and Human Services Employees’ Manual Chapter H: Adjustments Claims Revised October 11, 2024 Agency Error (AE) Claims To determine the month the change would have been effective, start with the report date and add: ▪ Ten days for the agency to issue a notice of decision, and ▪ Ten days for timely notice unless acting on the change would not have required timely notice. The first month of the claim cannot be later than two months from the month the change was reported. Comment:
Household T reported on April 12 that a household member moved out, which would have reduced benefits. The household was not required to report this change until recertification, but the agency was required to act since it was reported. Due to a delay by the agency in acting, benefits are reduced for August. From the April 12 report date, adding 10 days for the Department to issue a notice and 10 days for timely notice, benefits should have been reduced no later than June. Because benefits were not reduced until August, an AE claim must be done for June and July. Calculating the Amount of the Claim Legal reference: 7 CFR 273.18 Policy: To calculate the claim: ▪ Determine the correct benefit amount for each month overpaid. When determining the correct benefit amount for IHE and IPV claims, do not allow the 20% earned income deduction from earned income that was not timely reported. ▪ Subtract the correct benefit amount from the benefits actually received. The difference is the claim amount. NOTE: If a recoupment was withheld, use the amount before recoupment as the amount the household received. Procedure: When benefits were overpaid, whether due to an agency error or client error, complete a claim. To determine the first month for which there is a claim, see Months an IHE Claim Covers, Months an IPV Claim Covers, or Months an AE Claim Covers. To correct an error in income or deductions, calculate the claim based on the income or deduction amount that would have been used if the error had not occurred. Income is generally projected based on income the household received in the past 30 days, unless changes have occurred or are anticipated. See 7-F, Anticipating Income.