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FOOD AND NUTRITION SERVICES CERTIFICATION CLAIMS Agency Error (AE) Claims

3 Section 810 Change #3 2017 September 20, 2017 b. The agency is required to act on changes within ten calendar days after the date the change becomes known. Allow the full ten calendar days even though the agency may have acted sooner. Refer to FNS Manual Sections 450 and 550 to determine if it is necessary to react to the change.

c. The agency must allow the ten working days’ Notice of Adverse Action. Document the 10-10 dates on the DSS-1682. See exceptions to adverse action requirements in Section 635, Notices.

4. Special Requirements for IEVS Data

Section 605, IEVS Matches, requires the agency to act on IEVS matches and, if appropriate, issue a Notice of Adverse Action within 30 calendar days from the date of the match.

Failure by the agency to act results in a claim beginning the month following the month the Notice of Adverse Action would have expired.

Follow policy at the time of the overissuance to determine if the Division of Employment Security DES/UIB matches would have been a reason to issue a NOAA, or if the information from a UIB match was considered verified upon receipt.

810.03 DETERMINING THE OVERISSUANCE AMOUNT

A. Verify participation. Do not include in the claim calculation any months in which the household did not participate. Check the FNS benefits in NC FAST on the Person Page under the Financial Transactions tab.

B. Use the actual income received by each household member, actual expenses for deductions (except for utility expenses), household size, and other household circumstances for reported information/changes not acted upon. Refer to Section 4080.22, Utility Deductions, of the North Carolina Integrated Eligibility Manual for allowable utility expenses.

Do not re-verify reported income unless there is reason to believe the income has changed. Continue to budget the actual anticipated converted income that was used in the original budget. Use deductions that were allowed in the original budget. Budget actual verified allowable deductions for all expenses, except utilities. Consider ineligible and disqualified members when determining appropriate utility and standard deductions. Refer to Section 4080.22 Utility Deductions in the NC Integrated Eligibility Manual.

Use the Program Integrity trial budget for calculation. The claim amount is the difference between the correct allotment and the allotment the household received.

EXAMPLE 1: Averaged, converted income was not entered correctly into evidence on the Income Support page in. Use all other household circumstances that were correctly entered in NC FAST when calculating the overissuance. Include the actual income that was omitted in error.