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Page 143 Iowa Department of Health and Human Services Employees’ Manual Overpayment Recovery Title 13: Social Service Resources Chapter G: Child Care Assistance June 14, 2024 Failure to Cooperate Comment: Ms. L is approved for CCA effective March 25. Her need for service is employment outside the home. The worker receives information from an anonymous phone caller on August 1 that Ms. L is working 15 hours per week. The pay stub documentation in the case file contains verification of work hours before May 16, with an average work week of 32 hours. The worker follows up on the anonymous call by mailing Ms. L a request that she submit copies of July’s pay stubs within ten days. Ms. L fails to send the documentation. The worker issues a notice of decision canceling Ms. L’s assistance, and refers the case to DIAL. The calculation of the amount of overpayment begins on May 16 (the first day of undocumented work hours) and continues through the effective date of the cancellation notice of decision. Provider Failure to Cooperate Legal reference: 441 IAC 170.9(4) Policy: If a provider does not cooperate in the investigation of alleged overpayments, payments for all the months in question are considered overpayments. Procedure: When you discover that an overpayment may have occurred, issue a letter to the provider requesting the information or verification necessary to make your determination. Inform the provider that failure to provide the requested information will result in an overpayment recovery referral to the Department of Inspections, Appeals, and Licensure (DIAL). Place a copy of the letter in the case file. Refer the case to DIAL for investigation if: ▪ The provider fails to submit the requested information or verification after ten days from the first date of contact, or ▪ The information submitted appears questionable. If the suspected overpayment involves benefits to children currently in the care of the provider, do not cancel or suspend payment to the provider for those children due solely to the provider’s failure to cooperate. If the overpayment is a result of miscalculation of benefits, issue a Notice of Decision: Child Care to the client and send a copy to the provider specifying the corrected rates or payments.