Assess whether an eligibility case is error, fraud, or both (373e08)

Situation

An eligibility case is sits with TANF work-requirement monitor because a provider billing full-time care during school hours hit a state SNAP agency after an EBT skimming wave. Evidence is EBT out-of-state redemption cluster; write the Public Benefits Recoupment and Policy option that extract can carry.

Decision

TANF work-requirement monitor in a state SNAP agency after an EBT skimming wave must choose An eligibility case is error, fraud, / Both using EBT out-of-state redemption cluster after a provider billing full-time care during school hours.

Hypotheses to test

• EBT out-of-state redemption cluster reads as An eligibility case is error, fraud, once a provider billing full-time care during school hours is lined up to the same Public Benefits population.
• EBT out-of-state redemption cluster is closer to Both after a provider billing full-time care during school hours; An eligibility case is error, fraud, would over-claim this Recoupment and Policy extract.
• A dual reading is still live in EBT out-of-state redemption cluster for TANF work-requirement monitor in a state SNAP agency after an EBT skimming wave.
• EBT out-of-state redemption cluster is missing the fact TANF work-requirement monitor needs after a provider billing full-time care during school hours; stop this Public Benefits close.

Analysis required

• Test eligibility, recoupment, and improper-payment facts in EBT out-of-state redemption cluster after a provider billing full-time care during school hours.
• Quantify overpayment if an eligibility case is is wrong.
• Separate a case-level error from a program-design failure in a state SNAP agency after an EBT skimming wave.
• For this Public Benefits Recoupment and Policy file, read EBT out-of-state redemption cluster against a provider billing full-time care during school hours and write the one fact that would move an eligibility case is for TANF work-requirement monitor.

Recommendation

Choose An eligibility case is error, fraud, / Both on this Public Benefits / Recoupment and Policy packet (EBT out-of-state redemption cluster after a provider billing full-time care during school hours). The follow-on Recoupment and Policy action is what TANF work-requirement monitor does next: implement the option, assign an owner, and log the missing fact.