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MS 1040 (1) Volume 1 – General Administration MS 1040 – R. 7/1/21 – OMTL-580 Joint Non-Fraud and Fraud Claims [A joint claim occurs when there is more than one category of claim for the overpaid period. When a claim occurs due to an Intentional Program Violation (IPV) and an Agency Error (AE) or Inadvertent Household Error (IHE), calculate on the Integrated Eligibility and Enrollment System (IEES) each type of claim as outlined below. Enter claim comments in the Benefit Management Module explaining how the claims are computed. A. Compute the AE or IHE claim prior to completing the IPV claim. 1. Enter the actual amount of benefits the household received during each month in question. To determine the amount the household actually received, do the following: a. Access the Benefit Issuance screen from the IEES Benefit Management tab; b. Search the associated case and benefit period as indicated for the overpaid benefits. c. Any overpayment which occurred more than 12 months (one year) prior to the discovery of the overpayment is not included in an AE claim. An overpayment which occurred more than 72 months (six years) is not included in an IHE claim.] 2. Enter the issuance case data, correcting the AE or IHE claim factor but excluding the IPV factor. 3. The amount of the AE or IHE claim is the difference between the two allotment totals. 4. Establish the claim(s) as active to start recoupment. B. IPV claim. 1. [Use the data from the associated AE and/or IHE claims and include the IPV change. 2. Subtract the corrected benefit amount, which includes all known changes, from the benefits from the associated AE and/or IHE claims. The difference is the IPV claim amount. 3. Take action as appropriate for IPV claims independently from the AE or IHE portion of the claim.] Example: An IPV claim is identified due to an individual’s deliberate failure to report Retirement Survivors Disability Insurance (RSDI) income. Upon further review, it is discovered that the individual was given a