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729 Chapter 3:Processes and procedures • Section 5: Program integrity (07/2026) Possible Fraud overpayments: Refer all potential overpayments to the Overpayment Writing Unit, regardless of program or amount. An overpayment writer needs to evaluate and complete all instances of possible fraud overpayments. There are no overpayment thresholds in the following situations: • In the SNAP program, if the overpayment was identified in a quality control review • In all programs, if the overpayment was caused by an individual’s receipt of continuing benefits in a contested case • In all programs, if the overpayment was caused by possible fraud by an individual or provider • In the REF, SFPSS, and TANF programs for an overpayment caused by the individual using or accessing cash benefits in any EBT transaction in a:
Liquor store: This includes retail establishments that primarily or exclusively sell beer or wine.
Casino, gambling casino, or gaming establishment.
Retail establishment that provides adult-oriented entertainment in which performers disrobe or perform in an unclothed state for entertainment. This includes adult video stores that exclusively or primarily sell or feature adult-oriented videos or movies.
Marijuana dispensary. The amount of the overpayment is the amount of cash benefits used or accessed in the EBT transaction. Verification and overpayment claims establishment timelines ODHS|OHA staff should seek verification of potential income or eligibility discrepancies, when necessary, within 30 working days of first identifying them. Additional steps may need to be taken before discovering if an overpayment of benefits has actually occurred. If ODHS|OHA staff or investigator is unable to obtain satisfactory verification, the overpayment writer may average the income from wage information in the OED Frances system. The date of discovery of an overpayment is defined as the date on which an overpayment of benefits, the specific dollar amount, and time period are all confirmed. This is typically achieved once all evidence, eligibility verifications, earnings, and household composition factors have been confirmed, and the appropriate benefit level has been calculated. The goal is to complete the overpayment within 90 days following the calendar quarter in which the overpayment was discovered. For SNAP benefits, 90 percent of the overpayments should be written within this time frame. Responsibility for completing overpayments and referral process When ODHS|OHA employees receive information indicating a potential overpayment exists, they immediately report the information to the appropriate worker. The case is reviewed by the worker to determine if a discrepancy exists that may result in an overpayment. The worker is responsible for referring potential overpayments that exceed the overpayment threshold guidelines to the Overpayment Writing Unit. Narrate the referral. If a potential overpayment does not meet the threshold, do not submit a referral and narrate the reason for not referring. Overpayment writers from the Office of Payment Accuracy (OPAR), Overpayment Writing Unit (OWU) complete all cash, medical, SNAP