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733 Chapter 3:Processes and procedures • Section 5: Program integrity (07/2026) portion of the Overpayment/ Over-issuance Report form (MSC 0284), or the Overpayment/Overissuance Change Report form (MSC 0284A). Allowable credits are: • In all programs, for underpayments or adjustments • In REF and TANF, an individual’s verified payment for medical services made during the period covered by the overpayment, in an amount not to exceed the ODHS|OHA fee schedule for the service (Do not allow a credit for an elective procedure unless it was prior authorized by ODHS|OHA.) • In TANF months where there was no eligibility, child support payments made on behalf of the individual that are retained by the state and applied to reimburse assistance paid (Only the amount up to the monthly legally obligated support is allowed.) • For SFPSS and TANF, earned income overpayments occurring on or after April 1, 2009: Allow a credit for Post-TANF only if:
The individual reported in a timely manner
The individual met Post-TANF eligibility per Specific Requirements; Post-TANF (OAR 461-135-1250), including verification of the minimum number of work hours, and
The individual has received less than 12 months of Post-TANF program benefits. An individual cannot receive a Post-TANF payment and a credit in the same month. • In medical programs, cash medical support ODHS|OHA retained during each month of the overpayment. • In SNAP, if the overpayment was caused by unreported earned income from prior to January 1, 2023 and was verified, allow a credit for the paid child care costs to the extent they would have been deducted. • Under Dependent Care Costs; Deduction and Coverage (OAR 461-1690-0040), Requirement to Establish a Child Care Need and Hours Authorizations (414-175-0023) and Income Deductions; SNAP (OAR 461-160- 0430). Overpayments caused by failure to reimburse ODHS|OHA When an overpayment occurs because an individual fails to reimburse ODHS|OHA despite a legal requirement to do so, the overpayment may be limited. This is true when the overpayment is for benefits or services, including cash medical support provided for a need for which that individual was already compensated by another source. These overpayments are limited to the lesser of the following: When an overpayment occurs due to the failure of an individual to reimburse ODHS|OHA, when required by law to do so, for benefits or services (including cash medical support) provided for a need for which that individual is compensated by another source, the overpayment is limited to the lesser of the following: • The amount of the payment from ODHS|OHA • Cash medical support, or • The amount by which the total of all payments exceeds the amount payable for such a need under ODHS|OHA’s rules. Continuation of benefits pending a hearing When benefits issued incorrectly are continued unreduced pending a hearing and the hearing decision supports ODHS|OHA, the additional benefits beyond the initial notice period are an overpayment. The overpayment is