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4620.15.00 CLAIM THRESHOLDS (S)

In order to process claims faster and more efficiently, over-payment referrals on claims for SNAP non-recipients: • may be cancelled if the claim will be under $125.00.

Overpayment referrals on claims for SNAP recipients: • may be cancelled if the claim will be under $75.00.

At any point the BV worker determines the claim will be under the threshold, the BV worker may cancel the claim referral.

Exceptions to the claim referral thresholds: • All QC overpayments are to be established without regard to thresholds. • Effective 10/19, any case reviewed by Quality Control that incurred an error between $1 and $37 should also have an overpayment or under-issuance established without regard to thresholds. • A claim of any amount (even zero) may be referred for an Administrative Disqualification Hearing (ADH) because IPV disqualifications are a deterrent to future fraud attempts. (f10) 4620.20.00 AGENCY AND INADVERTENT ERROR IN SAME MONTH

In the event that both an agency error and inadvertent household/client error are identified within the same month, the steps below must be taken. If an IPV existed within the same month as an IHE/CE and AE, the IPV would be calculated in the same manner after the IHE/CE. • Secure the actual calculations for the month of possible over-issuance. • Determine the eligibility/allotment after correcting only on the factors which were agency error(s). • Determine the total over-issuance caused by agency error (step 1). • Use the recalculated budget which contains the corrected agency error information and recalculate that budget using the information which was originally incorrect due to Inadvertent Household Error (IHE)/Client Error (CE) or Intentional Program Violation (IPV) (step 2). • Compare the allotment/benefit recalculated in step one to the allotment/benefit recalculated in step two. The difference will be the amount of over-issuance used to calculate an IHE/CE/IPV claim.

NOTE: The total over-issuance due to AE, IHE/CE or IPV error cannot exceed the actual amount originally issued. 4620.25.00 CATEGORICALLY ELIGIBLE AGS WITH OVER-ISSUANCES (S)

AGs cannot be retroactively determined to be not categorically eligible for SNAP.