1142.035.05 Overpayment Period – DSS Manuals

IM-65 July 12, 2023 ; IM-40 May 28, 2008 ; IM-142 December 2, 2005

Determine the total number of months the household received an overpayment for each claim period.

Administrative Error (AE) claim: Calculate back no more than twelve months including the month of discovery (see 1142.015.05 Administrative Error )

Example: A possible overpayment for March 2022 through June 2022 is discovered on May 6, 2023. The 12-month look-back period is June 2022 through May 2023. A claim is established for the month of June 2022 only. Do not establish a claim for March 2022, April 2022, and May 2022.

Inadvertent Household Error (IHE) claim: Calculate back no more than twenty-four months including the month of discovery (see 1142.015.10 Inadvertent Household Error )

Example: A possible overpayment for March 2021 is discovered on May 6, 2023. The 24-month look-back period is June 2021 through May 2023. A claim is not established.

Suspected Program Violation (SPV) and Intentional Program Violation (IPV) claims: A look back period of thirty-six months is allowed for (see 1142.015.10.05 Suspected Program Violation / 1142.015.15 Intentional Program Violation ). If a suspected program violation overpayment month occurred within the thirty-six month look back period, calculate the overpayment back for up to seventy-two months. If there is no month in which an overpayment occurred due to the suspected program violation within the look back period, a claim amount is not calculated, and the discovery is rejected. The look back period includes the month of discovery.

Example: A possible overpayment for March 2020 through June 2021 is discovered on May 6, 2023. The 36-month look-back period is June 2020 through May 2023. Since one of the months of the claim period falls into the 36-month look-back period, a claim is established for the entire claim period.