Page 306

Page | 305 18600 IMPLEMENTATION OF FINAL DSS DECISIONS

DSS is responsible for ensuring that all final hearing decisions are reflected in the household's benefit amount within 60 days.

When the hearing authority determines that a household has been improperly denied program benefits or has been issued a lesser benefit amount than was due, lost benefits will be provided to the household. DSS will restore benefits to households leaving the State before their departure, whenever possible. If the household has moved out of state, benefits must still be approved, and the household notified.

When the hearing authority upholds DSS's action, a claim against the household for any overpayment will be prepared.

18700 PREPARATION OF REPORT OF CLAIM DETERMINATION

DSS-EA-894, Overpayment Report must be completed for all over issuances, in addition to the automated referral (RECO) to ORFI. The following instructions define how to complete the referral process:

A. “Information” section will be completed by ORFI in cases where an IPV has been determined or in situations where there was an SPV but was re-classified as an IHE. B. “Overpayment Timelines” section will be completed by the EABS 1. Potential O/P Date  The date the potential overpayment was discovered. 2. Substantiation/TIP Sent  The date the substantiation (verification/documentation) was requested to complete the overpayment.  The request for information must be sent within 30 days after the potential overpayment date. 3. Substantiation Received  The date the final substantiation/documentation is received verifying the overpayment has occurred.  The DSS-EA-894 and RECO must be completed as soon as possible after this date and within 120 days from this date.

C. “SNAP Overpayment” section will be completed by EABS 1. Amount of the overpayment 2. Classification type a. IPV b. IHE c. AER—even though we do not recoup from the household, we still need to identify if the Agency Error (AER) is within the threshold listed as these amounts will not need to be paid back. ORFI tracks all AER and the amounts. If the amount is within the threshold mentioned, mark the box “Do Not Recoup”. 3. Offset Amount – if there is any offset amount for the claim this amount should be listed. 4. Trafficking Overpayment – This will be completed by ORFI staff 5. QC Audit – Mark this yes if the overpayment was due to a QC review