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MS 0870 (3)

Note: If the claim is split due to household members moving in or out, a second appointment is not required. Only one interview is required.

I. Households that refuse to provide information required to determine ongoing eligibility are discontinued for non-cooperation.

J. Document claim comments as well as IEES case comments:

1. Every action taken and the date it happened.

2. List in chronological order the circumstances that resulted in the claim.

3. The date and time of the scheduled interview, if applicable, and the result of the interview at the time it was scheduled.

Example: 2/12/2020 – Interview appointment scheduled for 2/25/2020 at 1:00 p.m. Eastern Time. Appointment notice mailed to household on 2/12/2020. 2/25/2020 – Claim comments should include the phone number you contacted the client at and thoroughly explain the outcome of the interview appointment. This also includes reaching their voicemail and the need to leave a message for a return call.

4. False, misleading, or untimely statements made by the member(s).

5. List all verification used to determine the claim.

6. An explanation of the category of the claim.

7. An explanation of any corrective action taken to prevent future errors of the type that caused the claim.

8. For claims caused by unreported income, indicate who had the income, the type of income, name of employer if it is earned income, and the time period of receipt of the unreported income.

9. The hearing decision and other actions pertaining to the disposition of the claim, such as completion of a waiver to a hearing, termination of an Office of Inspector General (OIG) referral, or court disposition.

10. Any action by the RCW that deviates from the normal procedures.

K. Compute the claim amount based on available information, i.e., wage records, batch match, Eligibility Advisor, driver's license, etc. RCWs are not to investigate using Facebook, Google, or by calling family, friends, employers, or landlords to seek information about the individual that the household did not verify. If a collateral contact is used to substantiate a claim, request and obtain written verification from the source for the claim record.

[Example 1: The case record contains form PAFS-76 that was completed by the landlord. When the RCW contacts the verification source to determine time period of household composition, it is found it

Page 177

Official source

MS 0870 (3)

Note: If the claim is split due to household members moving in or out, a second appointment is not required. Only one interview is required.

I. Households that refuse to provide information required to determine ongoing eligibility are discontinued for non-cooperation.

J. Document claim comments as well as IEES case comments:

1. Every action taken and the date it happened.

2. List in chronological order the circumstances that resulted in the claim.

3. The date and time of the scheduled interview, if applicable, and the result of the interview at the time it was scheduled.

4. False, misleading, or untimely statements made by the member(s).

5. List all verification used to determine the claim.

6. An explanation of the category of the claim.

7. An explanation of any corrective action taken to prevent future errors of the type that caused the claim.

8. For claims caused by unreported income, indicate who had the income, the type of income, name of employer if it is earned income, and the time period of receipt of the unreported income.

10. Any action by the RCW that deviates from the normal procedures.

[Example 1: The case record contains form PAFS-76 that was completed by the landlord. When the RCW contacts the verification source to determine time period of household composition, it is found it