Page 445
• Written records, statements, or verbal testimony; or • Recorded telephone calls to the agency or documentation of visits during which time the client had opportunity to report changes. 4615.00.00 TIME LIMITS FOR OVER-ISSUANCE REFERRALS (S)
For agency error (AE) and inadvertent error (IHE) cases, a Benefit Recovery referral will be made when the agency becomes aware that a potential over-payment has occurred.
An AE or IHE claim may go back 36 months or to the beginning of the over-payment, whichever is less.
An IPV claim must go back 72 months or to the beginning of the over-payment, whichever is less. (f7) 4615.05.00 TIME LIMITS FOR OVER-ISSUANCE REFERRALS (C)
A Benefit Recovery referral will be made to recover any TANF over-issuance identified when: • The AG or any member of the AG is ineligible for any payment month; or • A benefit reduction would have occurred had a change of circumstances been appropriately and timely budgeted. 4615.10.00 TIME STANDARDS FOR INITIATING RECOVERY
For SNAP and TANF, claims must be established (opened) by the end of the quarter after the quarter in which the claim was discovered. If there is a delay in the ability to establish the claim within the preferred timeframe, the claim will still be established.
The discovery date is separate and distinct from the referral date, and how the date is determined is defined below: Claim Type Discovery Date Agency Error Date documentation is received by DFR that verifies an overpayment exists Inadvertent HH/Client error Date documentation is received by DFR that verifies an overpayment exists Pending Program Violation Date documentation is received by DFR that verifies an overpayment exists Intentional Program Violation Date of the court judgment, ADH decision, or signed waiver.
Example:
A new hire data match dated 4/9 was received for the client. Verification of employment was requested per policy and was returned to DFR on 4/28. The documentation verified that employment began 1/3, and the client was over the gross income limit in January. This