Page 964

2. An overnight process will automatically cause all case data and paid benefits to be copied into the claims and change the claim status on OVCA screen to WK in MAVERICS as well as in the Claims Data Base. At this point the claim is available for calculation of overissuance in the Claims Data Base by a weekend process as long as the claim remains in WK status. 3. Enter the case number, correct recoupment number, and program type on SEOO to ensure proper claim preparation. Complete OVN1 prior to working the budget. 4. In calculating the claim, work through each month of the claim, entering the information required. Overissuance details will be displayed on AFSU screen, i.e., months of overissuance, amount household received, amount household should have received, and amount of overissuance. Print this screen and retain in the case record on the top left side of all material. In the Claims Data Base only, code earned income which was not reported timely as UR on EAIN screen. 5. Complete the narrative portion using the screen(s) OVN1-5. 6. OVC2 is the tracking screen for all individuals responsible for repayment of a claim. All members associated with the case will be displayed on this screen. (For instructions and correct codes see Volume X.)

Volume III | Chapter 14

7. When the AE, OTHER, or IHE claim is prepared, the County Director or Supervisor must complete a second party review for accurate policy application and, either approve or delete the claim in the Claims Data Base. SIPV claims should be reviewed and pended (PE). 8. When the SIPV claim is pended it is available for the Claims Management Unit to provide a third party review. The Claims Management Unit will approve or deny the claim and make the appropriate referral for fraud investigation. 9. Except for SIPV claims submitted to Fraud Investigations, upon approval of AE, IHE, OTHER, or SIPV claims, the Supervisor or County Director or the Claims Management Unit will enter appropriate codes on OVCA screen for automatic benefit reduction to be effective the first month following expiration of the 10-day notice, X-021, MAVERICS TANF REPAYMENT NOTICE. If the client responds within the 10-day time frame and prefers to repay the claim in cash, the Supervisor/Director must remove the recoupment plan and amount form the OVCA screen. NOTE: Preparation of claims should be considered an important responsibility of county staff. It is imperative that ALL FACTS of a suspected overissuance are investigated, verified, and the claim thoroughly reviewed prior to submittal for approval to the Claims Management Unit. Approval of a 14350 MISSISSIPPI [ CLAIMS: CLAIMS DATABASE ]

Revised 01 - 01 - 07