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OTHER: This field can be used to list any other information needed for the claim such as the claim type and the amount of the claim, any months within the claim that are not months of overpayment, any cross-references to other claims narratives budgeting method and any additional information that substantiates the claim. The county may also use OTHER to finish fields in which they ran out of space in the narrative. If OTHER is needed for this, make a reference to OTHER from that field. OVERPAYMENT CLIENT RESPONSIBILITY SCREEN (OVC2): The county must code this screen to list the primary individual responsible for the repayment of the overpayment and any other individuals responsible for the repayment should the primary individual become unable to pay or does not pay in full. The coding will be completed as follows: Y - Primary individual responsible, usually the PI or other parent in a two-parent assistance unit. Only one individual can be coded Y . R - Individuals responsible if the primary individual is not available. This will include all other case members in a TANF case during the period of overpayment, including minors. N - Any individuals who were not in the case at the time of the overpayment will be coded N . Also, any step-parent whose income was deemed should be coded N . ACCUSED/GUILTY: This field will identify the individual or individuals accused of SIPV. This should be the individual the county feels deliberately failed to give correct information in order to receive benefits that they were not entitled to. If the claim is not being worked as SIPV, an AA@ is not required. The coding is as follows: A - Accused - The primary individual or individuals responsible. R - Responsible - Other individuals responsible for the case. N - Not responsible - Case members not held responsible.

Volume III | Chapter 14

14105 MISSISSIPPI [ CLAIMS: PREPARING THE CLAIM ] Revised 09 - 01 - 10