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• Continued benefits received after the release of a hearing decision; or • Failure to implement a change in regulation. 4605.05.00 ELIGIBILITY WORKER RESPONSIBILITIES

When a possible over-issuance is identified, the eligibility worker must enter a Benefit Recovery Referral and record the following information in comments. • The cause of the over-issuance; • How the over-issuance was discovered; • The date the agency became aware of an over- issuance; • The recipient(s) involved; • The date the income or change started and/or stopped; • The estimated length of over-issuance; • Any explanation given for failure to provide information accurately or in a timely manner; • Corrective action taken and the date such action was taken; and • In instances involving misuse of SNAP benefits or EBT cards (the dates and source of the referral must be recorded).

If possible fraud is suspected, a suspected fraud task should be created in lieu of a referral.

When notified that attendance is required, prepare for appearance in court, a fair hearing, or for SNAP and TANF, an Administrative Disqualification Hearing (ADH). 4605.10.00 BENEFIT RECOVERY UNIT RESPONSIBILITIES

The Benefit Recovery (BV) unit is responsible for: • the establishment of all over-issuance claims; • the maintenance of the claim including repayment agreements and methods of repayment; • Representing the state in hearings/court related to claim issues; • Gathering evidence and preparing over-payments for possible fraud determination; • Maintaining the Fraud Tracking System; • Closing and terminating claims as needed; • Working as a liaison between financial management, central office, compliance division, and other out of state and in state agencies; and • Other duties related to claims and fraud investigations. 4610.00.00 TYPES OF OVER-ISSUANCES

An over-issuance must be classified as: • Agency Error; • Inadvertent Household Error; • Client Error (for TANF only); • Intentional Program Violation (fraud); or • Any combination of the above.