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727 Chapter 3:Processes and procedures • Section 5: Program integrity (07/2026) Overpayment categories AE “administrative error” overpayment is a result of an error made by ODHS|OHA. Examples include: • ODHS|OHA fails to reduce, suspend, or end benefits after timely reporting by the filing group, ineligible student or authorized representative of a change covered under Changes That Must Be Reported (OAR 461- 170-0011 or OAR 410-200-0235 or OAR 414-175-0060) and the reported change requires ODHS|OHA to reduce, suspend or end benefits. • ODHS|OHA fails to use the correct benefit standard. • ODHS|OHA fails to compute or process a payment correctly based on accurate information timely provided by the filing group, ineligible student or authorized representative. • In the SFPSS program, ODHS|OHA fails to require an individual to complete an interim assistance agreement.
or • ODHS|OHA commits a procedural error that was no fault of the filing group, ineligible student, or authorized representative. For example, a case is opened as JOBS Plus, but SNAP benefits continue to be issued. CE “client error” overpayment is caused by a misunderstanding or unintended error on the part of the individual, ineligible student, or authorized representative, such as unintentionally providing incomplete information or not reporting a change, even if the information was available to ODHS|OHA. Examples include: • An overpayment caused by the failure of a filing group, ineligible student, or authorized representative to declare or report information or a change in circumstances as required under Changes That Must Be Reported (OAR 461-170-0011 and OAR 414-175-0060), including information available to ODHS|OHA that affects the individual’s eligibility to receive benefits or the amount of benefits • An individual’s unreduced liability or receipt of unreduced benefits pending a contested case hearing decision or other final order favorable to ODHS|OHA • An individual’s failure to return a benefit known by the individual to exceed the correct amount • An individual’s use of a JOBS or SFPSS program support payment for other than the intended purpose • A payment for child care when the individual was not engaged in an activity that made the individual eligible for child care, such as an activity of the JOBS program or • A payment for child care when the individual was not eligible for child care benefits. FR “fraud” occurs when an overpayment is determined by the Investigation Unit to be an intentional program violation (see Intentional Program Violation Defined, OAR 461-195-0601 and OAR 414-175-0099) and Intentional Program Violations; Establishment and Appeal, OAR 461-195-0601 and OAR 414-175-0099) or is substantiated through a criminal prosecution. PE “provider error” overpayment: • In the SNAP program, a provider error overpayment is an overpayment made to a drug or alcohol treatment center or residential care facility that acted as an individual’s authorized representative. • In the child care programs, a provider error overpayment is a payment made by ODHS|OHA on behalf of an individual to a child care provider when: