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

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

3. Receipt of continued benefits during a hearing process when the hearing officer affirms the reduction or termination of benefits. See exceptions in Section 805.03, D.

4. Overissuances identified through USDA audit findings.

5. Overissuances identified through QC referrals.

6. Failure to report that a member may be ineligible or disqualified.

7. Failure to report income or resources of an excluded or disqualified member.

8. The FNS unit failed to report moving to another state and applying for and receiving benefits from another state. This applies to Standard and Simplified cases.

9. The household was receiving FNS solely because of categorical eligibility and the household was subsequently determined ineligible for SSI and/or WFFA due to unreported income.

10. The Social Security Administration (SSA) took an action or failed to take the appropriate action which resulted in the household improperly receiving SSI due to unreported income.

C. Intentional Program Violation (IPV) – Do not pursue an IPV when information is known to the agency in another eligibility program. An IPV exists when there is clear and convincing evidence that the individual is guilty of knowingly, willfully, and with deceitful intent of committing any of the actions listed below:

1. Make a verbal or written false statement in order to obtain benefits for which the FNS unit is not eligible.

2. Hide information in order to obtain benefits for which the FNS unit is not eligible.

3. Use an EBT card to receive:

a. Cash;

b. Alcoholic beverages;

c. Tobacco products;

d. Illegal drugs;

e. Firearms;

f. Ammunition;