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731 Chapter 3:Processes and procedures • Section 5: Program integrity (07/2026) • Sufficient time existed for ODHS|OHA to adjust the benefits to prevent the overpayment if the filing group, ineligible student, or authorized representative had reported the change at any time within the reporting time frame. When an overpayment is caused by both an administrative and the individual’s error in the same month, ODHS|OHA determines the primary cause of the overpayment and assigns as either an administrative or the individual’s error overpayment. Income general information Assign unreported income to the applicable budget month without averaging the unreported income, except: • An individual’s earned income reported quarterly from the Employment Department is considered received by the individual in equal amounts during the months identified in the report.
In the ERDC, REF, SNAP, and TANF programs, an individual’s actual self-employment income is annualized retrospectively to calculate the overpayment.
In the HSD medical programs, if actual income is not available for the month in which an overpayment occurred, an individual’s actual self-employment income received during the year when an overpayment occurred is annualized to calculate an overpayment. When benefits were calculated using prospective budgeting and the actual income differs from the amount determined under OAR 461-150-0020(2) and OAR 414-175-0040, use the actual income to calculate the overpayment when: • The filing group, ineligible student, or authorized representative failed to report a change • The filing group, ineligible student, or authorized representative provided inaccurate information, or • The filing group, ineligible student, or authorized representative withheld information. When prospective income was reported correctly, but ODHS|OHA miscalculated the income or failed to use income reported, ODHS|OHA should use the actual income only if it results in a lesser overpayment amount for the individual. When using anticipated income for medical assistance and the actual income differs from the amount determined under OAR 410-200-0310, 461-150-0050, or OAR 414-175-0040, the Department uses the actual income to determine the amount of the overpayment when a medical assistance fraud overpayment (see OAR 461-195-0501) is established. Earned income overpayments Reported earned income: Compute total countable earned income on a month-to-month basis, allowing all earned income deductions, following policy in effect at the time of the overpayment. (see OARs 461-145-0930, 414-175-0035, 461-160-0160, 461-160-0430, 461-160-0550, and 461-160-0552). Unreported and under-reported earned income Compute total countable earned income on a month-to-month basis, unless the individual had good cause for not