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Page 135 Iowa Department of Health and Human Services Employees’ Manual Cooperation With Investigations Title 13: Social Service Resources Chapter G: Child Care Assistance June 14, 2024 Front-End Investigation Procedures Procedures for front-end investigation and what to do when a client reapplies after being canceled for failure to cooperate are explained in the following sections: ▪ Front-end investigation procedures ▪ Application after failure to cooperate Front-End Investigation Procedures Refer questionable cases, whether regarding the client and the provider, to the Economic Fraud Control Unit of the Department of Inspections, Appeals, and Licensure (DIAL) for front-end investigation. Before making a referral, do the following: ▪ For a family eligibility or provider payment issue, take a “prudent person” approach to the information the client or provider gives you. Allow the client or provider the opportunity to explain the situation or resolve any questionable information. ▪ For a provider regulation issue, talk to the registration person about the situation. Referring a Household to the Investigation Unit Make referrals for investigation using form 470-5130, DHS Investigative Referral to DIA. One or more of the factors listed on the form must be present in order to make a referral. You do not need to complete another DHS Investigative Referral to DIA when a client has agreed to cooperate with the investigator within 30 days of a noncooperation. This 30-day period is from the date that the investigator has notified you that the client has not cooperated. Inform the investigator that the client has contacted you and agreed to cooperate, so that the investigator can schedule an appointment with the client. If the client contacts the investigator, the investigator will schedule an appointment with the client and notify you. If the household resolves the issue with you before the investigation is completed, document this in the case record and notify the investigator. Investigation Process Legal reference: 481 IAC 72.2(10A), 72.3(10A) The purpose of a front-end investigation is to prevent households and providers from fraudulently receiving CCA. Front-end investigations are conducted to: ▪ Determine if information supplied by the client is correct. ▪ Determine if claim forms submitted by the provider are correct. ▪ Determine if payments issued to the provider were correct.