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PREPARING THE CLAIM When an improper payment is discovered, the claim must be identified in MAVERICS. Identification of a claim means the worker has obtained sufficient information to determine that a claim is due. Claims must be identified within ten days of the date the need for a claim is discovered. The day after a claim is identified; the worker should be able to access MNCLMS (Claims Database) to work the claim. A separate claim must be identified for each type of claim to be worked. For example, if the worker determines that a claim is to cover the period of January 2014-October 2014, but the months of January 2014-July 2014 will be worked as SIPV and August 2014-October 2014 will be worked as AE, then two claims must be identified in MAVERICS. The following material will explain what information is needed in working the claim. DETERMINING THE FIRST MONTH OF THE CLAIM After excluding any months that are more than six years prior to the date the overpayment was discovered, the worker will determine the first month of overpayment as outlined below. For the months that may be included, check the benefit history screens. Overpayment Occurring at the Time of the Initial Application When information is not reported or is provided incorrectly or when an action is taken by the worker at the time of application which results in an overpayment, the first month of the claim will be the beginning payment month for that application. EXAMPLE: The individual applied on September 10, 2014 and the case was approved on September 25, 2014. The individual failed to report that they were employed at the time of application. The first month of the claim would be September. EXAMPLE: The individual applied on August 15, 2014 and the case was approved on September 10, 2014. The EW included a child who was not eligible based on relationship. The first month of the claim would be September.
Volume III | Chapter 14
14100 MISSISSIPPI [ CLAIMS: PREPARING THE CLAIM ] Revised 09 - 01 - 10