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Child Care Subsidy Policy October 1, 2024 83 B. The client gets married during his certificate period and does not report the household addition until the next status check. The client could reasonably argue that he failed to understand program rules requiring the reporting of changes within five days. 8.3.3.2. If the case manager is ever in doubt of whether the improper payment is a programmatic infraction or misrepresentation, and the improper payment amount is less than $1000, the case manager should discuss the case with the CCR&R supervisor who will consult with the CCR&R Program Director, and together, make the decision to pursue repayment. 8.4. Referrals to Investigations and Fraud Management 8.4.1. Procedure for Referrals. If the overpayment is $1000 or greater and is due to misrepresentation by the client or provider, the case manager should prepare a memo explaining the circumstances, the time period, and an estimate of the amount involved. 8.4.1.1. Indicate person (s) who can verify the information and attach copies of all documentation including ECE-CC-10-A (Payment Form) and attendance sheets ECE- CC-10-G, that help support the complaint. The memo should also state what corrective action the case manager has taken on the case. The memo and supporting documents should be sent to: Department of Health & Human Resources Office of Inspector General Investigations and Fraud Management Attention: Chief Investigator Capitol Complex, Building 6 Charleston, West Virginia 25305 8.4.1.2. The client/provider is NOT to be advised that a referral has been made. If questioned, advise the client/provider that the matter has been referred to another unit for evaluation. DO NOT indicate that fraud is suspected. 8.4.2. When Not to Refer to Investigations Fraud Management. There are times when cases should not be referred to Investigations and Fraud Management regardless of the amount of the improper payment. It is the CCR&R’s responsibility to recover payments in this instance. Referrals should not be made when: 8.4.2.1. More than two years have passed since the misrepresentation period ended. 8.4.2.2. The case manager did not collect appropriate case verifications or process the case correctly.