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FOOD AND NUTRITION SERVICES CERTIFICATION CLAIMS Agency Error (AE) Claims
5 Section 810 Change #3 2017 September 20, 2017 J. For prorated or annualized income, count the prorated or annualized amount for each month of overissuance, even in months when the income was not actually received (Example: Annualized Self-Employment Income).
K. Do not include in the computation any month in which the FNS unit received Transitional Food and Nutrition Services (TFNS), unless there was dual participation by a member of the FNS unit, or the agency failed to disqualify a member of the FNS unit for an Intentional Program Violation (IPV).
L. Count the gross Social Security amount when a federal offset occurs to a Social Security payment. BENDEX information will continue to show the gross amount and will not record any information regarding the offset. Use the BENDEX record as verification of the gross amount.
M. Complete a DSS-1682, Report of Erroneous Issuance.
1. Document the DSS-1682 to substantiate the determination of the first overissuance month. See Section 835, Report of Erroneous Issuance (DSS- 1682), for instructions.
2. Attach appropriate verification.
3. Attach the Program Integrity trial budget printouts.
4. A second party review of the DSS-1682 is required to ensure its accuracy and completeness.
N. Enter the claim information in EPICS as an AE claim, and enter remaining information concerning the claim. The establishment date is the date the worker determines the overissuance amount and enters the claim into EPICS.
O. If the agency is aware of an expungement of benefits occurring within the previous three years, adjust the claim in EPICS. Enter the amount of the expunged benefits as the payment amount and “EX” – Expungement as the method of collection on the payment screen.
810.04 DETERMINING THE OVERISSUANCE AMOUNT WHEN VERIFICATION CANNOT BE OBTAINED
A. Third Party Fails/Refuses to Cooperate
If a third party fails/refuses to provide requested verification, take the following actions.
1. If a response is not received from the first request for verification within 30 calendar days, send a second request.
2. If a response to the second request is not received within 15 calendar days, contact the client. Use the DSS-8231, Request for Information, to request necessary verification or assistance obtaining the verification. Do not require the client to come into the office.