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BAM 300 10 of 14 THE CASE RECORD BPB 2026-016 7-1-2026

BRIDGES ADMINISTRATIVE MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Overissuance Packet Paper, ECF Use this packet for documents related to benefit overpayments. All hearing decisions and orders, court actions, notices of intentional program violation, intentional program violation repayment agreements and all other documents that result in an intentional program violation disqualification must never be obsoleted. The Michigan Office of Administrative Hearings and Rules (MOAHR), courts and the Office of Inspector General (OIG) must have documentation on all previous intentional program violations to impose a sequential disqualification. Note: The overissuance packet/tab (OI) is restricted to recoupment specialists only for entry and deletion. Never obsolete these records. Note: Fee referrals/dispositions belong in the current eligibility tab. Never obsolete these records. Cross-reference the legal packet when needed. Group all material chronologically that relates to the same incorrect issuance. This can include: • Overissuance (OI):

ARS and BRS overissuance history.

DHS-234, Release Plan.

DHS-1172s, FIP/SDA Worksheet; see Eligibility Packet in this item.

DHS-1835C, Fraud Investigation Disposition Report.

DHS-2242s, FAP Worksheet, or LOA FAP Worksheet showing the OI amount.

DHS-4355, Agreement to Repay Debt.

DHS-4357, Intentional Program Violation Client Notice.

DHS-4358, Notice of Agency or Client Error Overissuance and Recoupment Action.