Page 4

FOOD AND NUTRITION SERVICES CERTIFICATION CLAIMS ____________________________________________________________________________________

4 Section 800 Change #1-2017 April 1, 2017

D. Determine the amount of the overissuance:

1. Evaluate all evidence to determine if an overissuance/underissuance of Food and Nutrition Services benefits occurred. If an underissuance occurred due to client’s failure to report a change, no further action is required. Do not restore benefits.

2. Use actual unreported income for each month of the issuance period. Do not reverify reported income unless there is a reason to believe it has changed. For example, re-verify the UIB of a person who recently began new employment, since you would have reason to believe the UIB would terminate.

3. Use the Program Integrity trial budget to calculate the correct allotment.

a. Enter unreported earned income as unearned income to prevent earned income deductions for IHE and IPV claims.

b. Enter all earned income as earned income for AE claims.

4. Use information on the Person Page, under the Financials tab in NC FAST to determine the amount of the benefits issued.

5. Complete a DSS-1682 as instructed in Section 835 of the Food and Nutrition Services Certification Manual.

6. Verify through ebtEdge the benefits issued were used and not expunged.

7. The DSS-1682 must be reviewed, approved, and signed by a Supervisor or their designee. The Supervisor or designee must ensure the calculations on the DSS- 1682 are correct. Once the DSS-1682 has been completed, enter the date of the DSS-1682 as the Date of Discovery in EPICS.

8. Close the referral when an overissuance amount cannot be determined due to lack of cooperation by the client or third party verification sources. Close the referral when it is determined that no overissuance occurred. The date that the Investigator determines there is no overissuance is the Date of Discovery to be entered into EPICS.

E. Determine the type of overissuance:

1. Review all local agency eligibility files to determine if the information was reported to another caseworker.

a. Unless the Medicaid and Food and Nutrition Services Caseworker is the same person, information known to Medicaid and Services (including Child Care) is not considered known to Food and Nutrition Services. Establish an IHE claim if information is reported to Medicaid or Services but not Food and Nutrition Services.

b. Information known to Work First Family Assistance (WFFA) is considered known to Food and Nutrition Services. Establish an AE claim if information is reported to Work First Family Assistance and not shared with Food and Nutrition Services.