Page 947
MISSISSIPPI [CLAIMS: PREPARING THE CLAIM]
Revised 09-01-10 14103
BENEFITS TERM: If the case closed based on the information used to work this claim, enter the effective date of closure. This date should be the month after the month listed in the field OVERISSUANCE/OVERPAYMENT MONTHS THRU. Or, if the case did not close, enter 9's. BENEFITS CORRECTED: If the case remained open, enter the month that the benefits were corrected in MAVERICS. This should be the month after the month listed under the field OVERISSUANCE/OVERPAYMENT MONTHS THRU. Or, if the case closed, enter 9's. OVERISSUANCE/OVERPAYMENT MONTHS: FROM: The first month of the claim. THRU: The last month of the claim. If the claim covers two or more separate time frames, list the first and last months in these fields, then list the periods not included and explain why the months were not included on OVN3 under OTHER. The entries in these fields should match the information on AFSU. EXPLAIN THE REASON AND JUSTIFICATION FOR THE CLAIM: A simple explanation including who, what, when and where, that describes why the claim is being worked. EXAMPLES: SIPV - Ms. Jane Doe failed to report ongoing income which exceeded the household s limit. SIPV - Ms. Jane Doe failed to report at interview that she was employed at WalMart. AE - Ms. Jane Doe reported that her son had moved out of the home but the information was not acted upon by the county. IHE - At application, Ms. Jane Doe failed to report receipt of an annual holiday bonus received each December as part of her regular income. EXPLAIN THE DISCOVERY OF THE CLAIM: An explanation of how the claim was discovered. Examples include: IEVS, Ms. Jane Doe reported the information untimely, anonymous tip, case review, etc. EXPLAIN VERIFICATION OBTAINED: A description of the verification that the county has to support the claim. The description must include who, what, when and where. If IEVS is the only source, the case and claim must be documented on the attempts to get the information verified.
Volume III | Chapter 14