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CCDF POLICY AND PROCEDURE MANUAL Effective August 12, 2018 revised 02/11/2021. 54

STEPS TO DETERMINE A REPAYMENT AGREEMENT

STEP 1 Establish a begin and end date to be entered on the CCDF Repayment form for the period of time which the Applicant or Co-Applicant was ineligible.

STEP 2 Determine if the Applicant and Co-Applicant were eligible for transitional care. If yes, reduce and/or eliminate their overpayment by the number of eligible transitional care weeks.

STEP 3 Determine the total amount of the overpayment by pulling payment details from eligibility software less any reduction due to transitional care.

STEP 4 Complete the CCDF Non-compliance and CCDF Repayment form.

STEP 5 Send copies of the forms to the Applicant/Co-Applicant for signatures and include the CCDF Repayment Appeal form. ➢ Send a copy of the agreement and all relevant documents to OECOSL.

STEP 6 Provide a signed copy of the forms to the Applicant/Co-Applicant and send a copy of the signed agreement to OECOSL.

Scan and Email to: CCDF_Repayment@fssa.in.gov