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Page 7

3 rules

in view

Whole section

Encodings · 3

Encoded from this provision

us-nc/policy/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-7

agency_error_recipient_claim_may_resultus-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-7 · derived

FNS 805, page 7, items 5-16

name: agency_error_recipient_claim_may_result
kind: derived
entity: Person
dtype: Judgment
period: Month
source: FNS 805, page 7, items 5-16
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: condition
        source:
          corpus_citation_path: >-
            us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-7
versions:
  - effective_from: '2017-04-01'
    formula: >-
      duplicate_ebt_benefits_were_issued

      or
      failed_to_check_for_same_month_participation_in_another_household_local_agency_or_state

      or
      failed_to_remove_tfns_member_reported_added_to_another_north_carolina_fns_unit

      or failed_to_remove_tfns_member_reported_applied_for_fns_in_another_state

      or failed_to_timely_disqualify_household_member_found_guilty_of_ipv

      or failed_to_act_on_drs_match

      or overissuance_identified_through_usda_audit_findings

      or overissuance_identified_through_qc_referral

      or state_agency_error_occurred

      or
      failed_to_act_on_change_reported_during_initial_certification_for_joint_ssi_fns_application_at_social_security_office

      or failed_to_exclude_ineligible_member_or_disqualify_disqualified_member

      or failed_to_include_disqualified_members_income_or_resources

      or (tfns_period_claim_may_be_established and claim_is_for_tfns_period)

      or
      household_received_fns_solely_because_of_categorical_eligibility_and_later_determined_ineligible_for_wffa_or_ssi

suspected_ipv_claim_may_be_coded_as_iheus-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-7 · derived

FNS 805, page 7, section B

name: suspected_ipv_claim_may_be_coded_as_ihe
kind: derived
entity: Household
dtype: Judgment
period: Month
source: FNS 805, page 7, section B
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: exception
        source:
          corpus_citation_path: >-
            us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-7
          excerpt: >-
            Do not code a suspected IPV claim as an IHE while waiting for an ADH
            or prosecution.
versions:
  - effective_from: '2017-04-01'
    formula: not suspected_ipv_claim_waiting_for_adh_or_prosecution

tfns_period_claim_may_be_establishedus-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-7 · derived

FNS 805, page 7, item 15

name: tfns_period_claim_may_be_established
kind: derived
entity: Person
dtype: Judgment
period: Month
source: FNS 805, page 7, item 15
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: condition
        source:
          corpus_citation_path: >-
            us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-7
          excerpt: >-
            Do not establish a claim for a TFNS period unless dual benefits were
            received or an IPV disqualification was not enforced.
versions:
  - effective_from: '2017-04-01'
    formula: |-
      dual_benefits_were_received
      or ipv_disqualification_was_not_enforced

▸rulespec code

Shown source

policies/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims

Displaying the canonical repository encoding.

View on GitHub

Rules

agency_error_recipient_claim_may_result

Derived

source: FNS 805, page 7, items 5-16

- name: agency_error_recipient_claim_may_result
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: FNS 805, page 7, items 5-16
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: condition
          source:
            corpus_citation_path: us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-7
  versions:
    - effective_from: '2017-04-01'
      formula: >-
        duplicate_ebt_benefits_were_issued

        or failed_to_check_for_same_month_participation_in_another_household_local_agency_or_state

        or failed_to_remove_tfns_member_reported_added_to_another_north_carolina_fns_unit

        or failed_to_remove_tfns_member_reported_applied_for_fns_in_another_state

        or failed_to_timely_disqualify_household_member_found_guilty_of_ipv

        or failed_to_act_on_drs_match

        or overissuance_identified_through_usda_audit_findings

        or overissuance_identified_through_qc_referral

        or state_agency_error_occurred

        or
        failed_to_act_on_change_reported_during_initial_certification_for_joint_ssi_fns_application_at_social_security_office

        or failed_to_exclude_ineligible_member_or_disqualify_disqualified_member

        or failed_to_include_disqualified_members_income_or_resources

        or (tfns_period_claim_may_be_established and claim_is_for_tfns_period)

        or
        household_received_fns_solely_because_of_categorical_eligibility_and_later_determined_ineligible_for_wffa_or_ssi

suspected_ipv_claim_may_be_coded_as_ihe

Derived

source: FNS 805, page 7, section B

- name: suspected_ipv_claim_may_be_coded_as_ihe
  kind: derived
  entity: Household
  dtype: Judgment
  period: Month
  source: FNS 805, page 7, section B
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: exception
          source:
            corpus_citation_path: us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-7
            excerpt: Do not code a suspected IPV claim as an IHE while waiting for an ADH or prosecution.
  versions:
    - effective_from: '2017-04-01'
      formula: not suspected_ipv_claim_waiting_for_adh_or_prosecution

tfns_period_claim_may_be_established

Derived

source: FNS 805, page 7, item 15

- name: tfns_period_claim_may_be_established
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: FNS 805, page 7, item 15
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: condition
          source:
            corpus_citation_path: us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-7
            excerpt: >-
              Do not establish a claim for a TFNS period unless dual benefits were received or an
              IPV disqualification was not enforced.
  versions:
    - effective_from: '2017-04-01'
      formula: |-
        dual_benefits_were_received
        or ipv_disqualification_was_not_enforced

loading…

us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-7 — Page 7 · Axiom

Page 7

3 rules

Official source

in view

Whole section

Encodings · 3

Encoded from this provision

us-nc/policy/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-7

agency_error_recipient_claim_may_resultus-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-7 · derived

FNS 805, page 7, items 5-16

name: agency_error_recipient_claim_may_result
kind: derived
entity: Person
dtype: Judgment
period: Month
source: FNS 805, page 7, items 5-16
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: condition
        source:
          corpus_citation_path: >-
            us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-7
versions:
  - effective_from: '2017-04-01'
    formula: >-
      duplicate_ebt_benefits_were_issued

      or
      failed_to_check_for_same_month_participation_in_another_household_local_agency_or_state

      or
      failed_to_remove_tfns_member_reported_added_to_another_north_carolina_fns_unit

      or failed_to_remove_tfns_member_reported_applied_for_fns_in_another_state

      or failed_to_timely_disqualify_household_member_found_guilty_of_ipv

      or failed_to_act_on_drs_match

      or overissuance_identified_through_usda_audit_findings

      or overissuance_identified_through_qc_referral

      or state_agency_error_occurred

      or
      failed_to_act_on_change_reported_during_initial_certification_for_joint_ssi_fns_application_at_social_security_office

      or failed_to_exclude_ineligible_member_or_disqualify_disqualified_member

      or failed_to_include_disqualified_members_income_or_resources

      or (tfns_period_claim_may_be_established and claim_is_for_tfns_period)

      or
      household_received_fns_solely_because_of_categorical_eligibility_and_later_determined_ineligible_for_wffa_or_ssi

suspected_ipv_claim_may_be_coded_as_iheus-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-7 · derived

FNS 805, page 7, section B

name: suspected_ipv_claim_may_be_coded_as_ihe
kind: derived
entity: Household
dtype: Judgment
period: Month
source: FNS 805, page 7, section B
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: exception
        source:
          corpus_citation_path: >-
            us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-7
          excerpt: >-
            Do not code a suspected IPV claim as an IHE while waiting for an ADH
            or prosecution.
versions:
  - effective_from: '2017-04-01'
    formula: not suspected_ipv_claim_waiting_for_adh_or_prosecution

tfns_period_claim_may_be_establishedus-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-7 · derived

FNS 805, page 7, item 15

name: tfns_period_claim_may_be_established
kind: derived
entity: Person
dtype: Judgment
period: Month
source: FNS 805, page 7, item 15
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: condition
        source:
          corpus_citation_path: >-
            us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-7
          excerpt: >-
            Do not establish a claim for a TFNS period unless dual benefits were
            received or an IPV disqualification was not enforced.
versions:
  - effective_from: '2017-04-01'
    formula: |-
      dual_benefits_were_received
      or ipv_disqualification_was_not_enforced

▸rulespec code

Shown source

policies/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims

Displaying the canonical repository encoding.

View on GitHub

Rules

agency_error_recipient_claim_may_result

Derived

source: FNS 805, page 7, items 5-16

- name: agency_error_recipient_claim_may_result
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: FNS 805, page 7, items 5-16
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: condition
          source:
            corpus_citation_path: us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-7
  versions:
    - effective_from: '2017-04-01'
      formula: >-
        duplicate_ebt_benefits_were_issued

        or failed_to_check_for_same_month_participation_in_another_household_local_agency_or_state

        or failed_to_remove_tfns_member_reported_added_to_another_north_carolina_fns_unit

        or failed_to_remove_tfns_member_reported_applied_for_fns_in_another_state

        or failed_to_timely_disqualify_household_member_found_guilty_of_ipv

        or failed_to_act_on_drs_match

        or overissuance_identified_through_usda_audit_findings

        or overissuance_identified_through_qc_referral

        or state_agency_error_occurred

        or
        failed_to_act_on_change_reported_during_initial_certification_for_joint_ssi_fns_application_at_social_security_office

        or failed_to_exclude_ineligible_member_or_disqualify_disqualified_member

        or failed_to_include_disqualified_members_income_or_resources

        or (tfns_period_claim_may_be_established and claim_is_for_tfns_period)

        or
        household_received_fns_solely_because_of_categorical_eligibility_and_later_determined_ineligible_for_wffa_or_ssi

suspected_ipv_claim_may_be_coded_as_ihe

Derived

source: FNS 805, page 7, section B

- name: suspected_ipv_claim_may_be_coded_as_ihe
  kind: derived
  entity: Household
  dtype: Judgment
  period: Month
  source: FNS 805, page 7, section B
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: exception
          source:
            corpus_citation_path: us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-7
            excerpt: Do not code a suspected IPV claim as an IHE while waiting for an ADH or prosecution.
  versions:
    - effective_from: '2017-04-01'
      formula: not suspected_ipv_claim_waiting_for_adh_or_prosecution

tfns_period_claim_may_be_established

Derived

source: FNS 805, page 7, item 15

- name: tfns_period_claim_may_be_established
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: FNS 805, page 7, item 15
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: condition
          source:
            corpus_citation_path: us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-7
            excerpt: >-
              Do not establish a claim for a TFNS period unless dual benefits were received or an
              IPV disqualification was not enforced.
  versions:
    - effective_from: '2017-04-01'
      formula: |-
        dual_benefits_were_received
        or ipv_disqualification_was_not_enforced

FOOD AND NUTRITION SERVICES CERTIFICATION CLAIMS Requirements for Establishing Recipient Claims ____________________________________________________________________________________

7 Section 805 Change #1-2017 April 1, 2017

5. Issuing duplicate EBT benefits.

6. Allowing dual participation by a FNS unit household or household member by:

a. Failing to check for participation in another household, another local agency, or another state for the same month.

b. Failing to remove a member of a TFNS case when it is reported that the individual has been added to another FNS unit in North Carolina.

c. Failing to remove a member of a TFNS case when it is reported that the individual has applied for FNS in another state.

7. Failure to timely disqualify a household member found guilty of an IPV.

8. Failure to act on a Disqualified Recipient System (DRS) match.

9. Overissuances identified through the United States Department of Agriculture (USDA) audit findings.

10. Overissuances identified through Quality Control (QC) referrals.

11. State Agency errors.

12. Failure to act on changes reported to the local agency during the initial certification period of jointly processed applications taken at the Social Security Office (for SSI and FNS.)

13. Failure to exclude an ineligible member or failure to disqualify a disqualified member. Examples are a drug felon, E & T disqualification, etc.14.

14. Failure to include a disqualified member’s income and/or resources.

15. Do not establish a claim for a TFNS period unless dual benefits were received or an IPV disqualification was not enforced.

16. The household was receiving FNS solely because of categorical eligibility and the household was subsequently determined to be ineligible for WFFA and/or Supplemental Security Income (SSI).

B. Inadvertent Household Error (IHE) – A recipient claim may result from, but is not limited to any of the following situations. Do not code a suspected IPV claim as an IHE while waiting for an ADH or prosecution.

1. Failure to provide correct or complete information at the time of application or recertification.

2. Failure to report a change in circumstances required by Sections 450 and 550.