Page 961

the information will be referred to the appropriate county office for follow-up. Claims Management Unit Responsibilities The Claims Management Unit (CMU) will use knowledge of policy to approve claims and enter information into MAVERICS to process recoupments. The CMU is responsible for review and approval of SIPV claims, while the county office will handle all other claim types. Upon receipt of the claim, the appropriate staff in the CMU will: Review the claim and seek any additional information needed from the county by use of mailbox to the supervisor. This information should be corrected within 10 days. 2. Make a decision regarding the period of improper payment, the policy involved, and the type of claim. 3. When the claims narrative is reviewed and approved (AC), the Claims Management Unit will enter all claims in MAVERIS as: A- Administrative Error (AE) S - Suspected Intentional Program Violation (SIPV) H - Inadvertent Household Error (IHE) O - Other 4. When the claim is approved by Claims Management in the Claims-DB, an overnight batch process will copy the recoupment record (OVCA) back to MAVERICS for claim establishment. A demand notice will be automatically generated the same night the recoupment record is copied back to MAVERICS. When the claim is denied (DE) by the Claims Management Unit, the remarks field on the OVCA screen may be used for explanation. 5. Record receipt of all claim type reports and maintain information on the individual, the total number and amount of overpayments identified. 6. Refer the claim to the Fraud Investigation Unit, if necessary. When the Fraud Investigation Unit reports back, the claim could remain SIPV or be changed by the claims Unit to IHE or Other as noted above. MISSISSIPPI [CLAIMS: RESPONSIBILITIES OF DEPARTMENTS]

Revised 01-01-07 7. Enter all information regarding the claim in MAVERICS to allow for processing of the recoupment and tracking of all claims. 8. Send demand letters at intervals of 30, 60 and 90 days on inactive cases. Accounts still delinquent at the end of 90 days will be placed in a delinquent account file and handled appropriately. Accounts that are delinquent for three (3) or more years move to an inactive file until reactivated, should the assistance unit become eligible again.