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266 Economic Services worker is not required to request information to substantiate the claim unless it is relevant to the household’s on-going eligibility determination. (B) The DSS Form 1680 and any documentation and /or verification must be scanned into SCOSA – Benefit Integrity Folder; Possible Claim (1680) Sub-folder. (C) BICS must search for the information in the appropriate folders to avoid making unnecessary requests for information that has already been received by DSS. (D) The DSS Form 1680 should be scanned in the Benefit Integrity Folder; Possible Claim (1680) Sub-folder no later than 10 days from the date of detection. (E) The Benefit Integrity Specialist Registrar is responsible for rotating the DSS Form 1680 to the next available BICS from the Claims mailbox and entering the date detected on CHIP Possible Claim (POCL) screen no later than 10 days following the date the referral was received in the Regional Claims mailbox. (F) Correct the current or future benefit issuance when it is determined that a case is incorrect. Economic Services staff should not work overpayments in correction mode on CHIP in order to avoid problems for Benefit Integrity Claims staff. Overpayment determinations should be calculated using mini budget screen FSMB. (2) Benefit Integrity Claims staff responsibilities for possible recipient claims
The Benefit Integrity Claims staff has the following responsibilities concerning claims referrals: (A) Review the possible claim referral. (B) Review the case file. (C) Determine classification of claim, period of over-issuance and over-issuance amount. Complete the DSS Form 2619A, Account of Claim Activity Report (and the DSS Form 2619B, Account of Claim Activity/Report Part 2 [IPV/FR]) AND (D) Follow other Benefit Integrity Claims staff duties as outlined in SNAP/TANF Program Benefit Integrity Manual
2 3 . 3 C L A S S I F I C A T I O N O F R E C I P I E N T C L A I M S Economic Services staff must assign a potential classification to possible recipient claims based on the reasons for the over-issuance. Claims may be assigned the following classifications: (1) Agency error
Agency Error (AG) claims, are any claims for an overpayment caused by an action or failure to take action by the Agency. In some instances, an over-issuance must be classified as AG even if the Agency is not totally at fault. An example of this would be if the Agency acts on verification provided directly to the Agency by an income source with no involvement of the household. Instances which may result in an AG claim include, but are not limited to the Agency’s: (A) Failure to take prompt action on a reported change