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COMBINED MANUAL
ISSUE DATE 08/2019
DETERMINING INCORRECT PAYMENT AMOUNTS
0025.03
If the ineligibility is caused by any reason other than unreported income, and there is 1 month or more of total ineligibility and then 1 month or more of eligibility, presume that the unit reapplied on the 1st day they were eligible. Calculate the amount the unit should have received based on the 1st day they were eligible.
MSA: Follow general provisions.
In addition, if the client receives SSI and SSA does not establish an overpayment or charge a partial overpayment, do not establish an MSA overpayment. For any month in which there is a total SSI overpayment, establish an MSA overpayment. If the total SSI overpayment is due to excess assets, the entire MSA benefit is an overpayment. If the total SSI overpayment is due to excess income, evaluate income to determine the amount of the MSA overpayment.
Do not allow the work expense deduction on income not reported timely. See 0018.06 (Work Expense Deductions).
For self-employment income overpayments that occurred after February 1, 2016, use the gross self-employment income calculation method for self-employment income not reported timely. See 0017.15.33.03 (Self-Employment, Convert Inc. To Monthly Amt - Cash).
When there is 1 month or more of total ineligibility and then 1 month or more of eligibility, presume that the unit reapplied on the 1st day they were eligible. Calculate the amount the unit should have received based on the 1st day of the month they were eligible.
GA: Follow general provisions.
For self-employment income overpayments that occurred after February 1, 2016, use the gross self-employment income calculation method for self-employment income not reported timely. See 0017.15.33.03 (Self-Employment, Convert Inc. To Monthly Amt - Cash).
When there is 1 month or more of total ineligibility and then 1 month or more of eligibility, presume that the unit reapplied on the 1st day they were eligible. Calculate the amount the unit should have received based on the 1st day they were eligible. Prorate if necessary; see 0022.12.03 (Proration).
GRH: No provisions.