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BAM 320 2 of 12 DEPARTMENT AUDITS BPB 2025-009 4-1-2025
BRIDGES ADMINISTRATIVE MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES
Scope and Purpose The purpose of the active case review is to determine if households are eligible and receiving the correct monthly FAP allotment amounts. The purpose of the negative case review is to determine if the decisions and/or procedural processes to deny, suspend, or terminate cases is correct. QC review findings of active cases determine the incidence and dollar amounts of errors. The current (10/2024 for Fiscal Year 25) active case error threshold is $57. The objectives of QC reviews are to provide: • A systematic method of measuring the validity of the eligibility determinations made by the FIS/ES. • A basis for determining error rates. • A timely, continuous flow of information on which to base corrective action at all levels of administration. • The basis for establishing State agency eligibility for bonus awards or State agency liability for excessive error rates. Frequency of Reviews and Selection of Cases for Review Each month a statewide random sample of households is selected from two different categories: active cases and negative cases (households that were denied benefits or whose benefits were terminated (or temporarily suspended). Request for Case Records When a case is selected for review, the QC reviewer will contact the local office designee, if necessary to: • Obtain obsolete paper files. • If necessary, assist the reviewer in locating the recipient or enlisting the cooperation of recipients who are not responding to the reviewer’s letters or required in-person interviews. For FAP active cases, reviews that must be dropped because of recipient “non-cooperation/unable to locate” contribute a substantial increase in the FAP error rate. Federal Food Assistance Program reviewers assume these dropped cases are error cases more than the same number of