Page 1121

West Virginia Income Maintenance Manual Chapter 11

West Virginia Income Maintenance Manual

Page 36 Chapter 11 Benefit Repayment

• The client is over age 70. 11.6.3 REFERRAL PROCESS When it is determined that an overpayment meets the requirements for referral to the CIU, the Worker completes Form IFM-1 and forwards it to the Director, Investigations and Fraud Management, Building 6, using interdepartmental mail. The form requires the Worker to indicate the case name, RFA or case number, county of overissuance/overpayment, program(s) or assistance involved, and a summary of the questionable eligibility factors. See Appendix B of this chapter. The forms are available in the county offices. A Desk Guide to assist Workers in determining when and where to refer cases is found in Appendix C of this chapter. 11.6.4 DISPOSITION Upon completion of the investigation, the CIU notifies the Worker of the disposition of the referral.

EXCEPTION: In certain cases, misrepresentation may be so blatant and repetitive that referral may be indicated even though the amount is under $500. If there are any questions concerning a referral, the Worker may discuss the case with the CI assigned to his county. NOTE: A referral to the CIU for possible criminal action has no bearing on current eligibility. The Worker must adhere to the eligibility requirements, require the client to verify all questionable information, and take the appropriate action.

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Page 1121

Official source

West Virginia Income Maintenance Manual Chapter 11

West Virginia Income Maintenance Manual

Page 36 Chapter 11 Benefit Repayment

• The client is over age 70. 11.6.3 REFERRAL PROCESS When it is determined that an overpayment meets the requirements for referral to the CIU, the Worker completes Form IFM-1 and forwards it to the Director, Investigations and Fraud Management, Building 6, using interdepartmental mail. The form requires the Worker to indicate the case name, RFA or case number, county of overissuance/overpayment, program(s) or assistance involved, and a summary of the questionable eligibility factors. See Appendix B of this chapter. The forms are available in the county offices. A Desk Guide to assist Workers in determining when and where to refer cases is found in Appendix C of this chapter. 11.6.4 DISPOSITION Upon completion of the investigation, the CIU notifies the Worker of the disposition of the referral.

EXCEPTION: In certain cases, misrepresentation may be so blatant and repetitive that referral may be indicated even though the amount is under $500. If there are any questions concerning a referral, the Worker may discuss the case with the CI assigned to his county. NOTE: A referral to the CIU for possible criminal action has no bearing on current eligibility. The Worker must adhere to the eligibility requirements, require the client to verify all questionable information, and take the appropriate action.