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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 100 – General Provisions P a g e | 40 Effective Month: March 2019 • What the individual said about the factor in question and the date on which the information was given, whether the individual gave statements on the application or gave them verbally to the specialist and the reason the individual gave for withholding or falsifying the information. • The date on which and the circumstances under which the specialist learned of the correct information. • Steps the specialist has taken to verify the correct information. For example, securing bank statement, checking property records, contact with insurance company or employer, etc. • Whether the specialist considers the withholding or giving incorrect information to be willful, whether the individual was able to understand reporting responsibilities for giving accurate information and the meaning of his failure to do so. • Whether the applicant or recipient (and spouse) have resources from which to repay the amounts improperly received. Instances to Delay Preparation of the Report Preparation of the Improper Payment Report should be delayed as follows: • If a transfer of resources is involved, DOM-322 must be issued and an opportunity for rebuttal offered; therefore, preparation of the Improper Payment Report must be delayed until after the period for rebuttal is over. • If substantial home equity is discovered and verified, a DOM-314 must be issued, and an Improper Payment Report delayed until the rebuttal period is over. • If a hearing has been requested, preparation of the Improper Payment Report should be delayed until all appeals have been exhausted and a final decision has been issued on the eligibility factor.