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FOOD AND NUTRITION SERVICES CERTIFICATION CLAIMS ____________________________________________________________________________________
8 Section 800 Change #1-2017 April 1, 2017
responsible household members. Responsible household members must be 18 years or old at the time of the overissuance, included in the FNS Unit, someone who should have been included in the FNS Unit, or an emancipated minor head of household. Do not include as a debtor someone who was included in the FNS Unit when it is proven that person no longer lived in the household.
h. Follow collection procedures consistent with an IHE claim.
H. Date Of Discovery for AE, IHE, and IPV Claims
A local agency has 180 days to investigate a referral to determine if there is an actual overissuance. A local agency has an additional 180 days to establish a claim once it has been determined there is an actual overissuance and the Date of Discovery has been entered into EPICS.
1. Once a referral is made of a suspected overissuance or IPV to Program Integrity a referral must be entered into EPICS within 10 business days. The Date Of Discovery field in EPICS should remain 00/00/0000 until it has been determined that an overissuance or disqualification has occurred.
2. If during the investigation it is determined that an overissuance did occur, complete a DSS-1682 and enter into EPICS the date of the DSS-1682 in the Date of Discovery field in the Referral Detail 1 screen, A claim must be established within 180 days from the Date of Discovery.
3. If during the investigation it is determined that no overissuance occurred or can be determined, enter the date this has been determined into EPICS in the Date of Discovery field in the Referral Detail 1 screen and unsubstantiate the referral,
4. If during the investigation it is determined that an IPV occurred, but no overissuance can be determined enter this date into EPICS in the Date of Discovery field in the Referral Detail 1 screen. The claim must be established for $1.00 within a 180 days from the Date of Discovery. Establish the disqualification in EPICS and fax a request to the State Office to close the claim the next business day. Do not establish a claim for $1.00 when the casehead has no Social Security Number (SSN). Document in the record for tracking purposes.
I. Referrals With A Date Of Discovery 00/00/0000
1. Once a referal has been created in EPICS a Date of Discovery must be entered into the Referral Detail 1 screen within 180 days of the Referral Date.
2. Program Integrity Supervisors must monitor the report MONTHLY FNS REFERRALS WITH NO DATE OF DISCOVERY in XPTR to ensure that no referrals have a Creation Date of more than 180 days with a Date of Discovery of 00/00/0000.