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Volume III | Chapter 14

RESPONSIBILITIES OF DEPARTMENTS The county Department of Human Services and the state office departments of Accounting and Finance, Fraud Investigation Unit, and MAVERICS are jointly responsible for recovering overpayments. Each has specific duties; however, the efforts of all departments must be coordinated. The County Responsibilities The county should use knowledge of policy to identify and work all overpayments and report these overpayments to the Claims Management Unit. The county also carries the responsibility for recoupments. The county will be available to the client to explain the basis and facts about the claim. 1. The county Department of Human Services will identify cases of suspected fraud or error, whether client or agency. Claims are IDentified in MAVERICS on the OVCA screen. The REHI screen should be reviewed each time before a new claim is IDentified to be sure that another identification status is needed before a new entry is made. All paid benefits in MAVERICS for the IDentified claim will be copied overnight to the CLAIMS-DB and the ID status will show WK on OVCA in MAVERICS and CLAIMS-DB. However, the county supervisor or Director may DElete the claim/on OVCA in the CLAIMS-DB if determined that the claim should not have been IDentified. After the status is changed to WK, benefits move over to the CLAIMS-DB on the weekend after they are paid. The county office must DElete unneeded recoupment numbers after the claim has been moved to the CLAIMS-DB. The county must ID claims by program and type claim, i.e., a TANF overpayment caused by both client and agency error would require that two recoupment numbers be IDentified on OVCA in MAVERICS. In this case, the paid benefits in MAVERICS will move to the CLAIMS-DB with two sets of narrative screens, one for each IDentified recoupment plan. All work, tracking and inquiry must be accessed by recoupment number. 2. The county Department of Human Services is responsible for working the claim in the CLAIMS-DB in MAVERICS.

14300 MISSISSIPPI [ CLAIMS: RESPONSIBILITIES OF DEPARTMENTS ] Revised 01 - 01 - 07