Assess whether an eligibility case is error, fraud, or both (12bb38)

Situation

After a provider billing full-time care during school hours, retailer trafficking red-flag report is what SNAP trafficking investigator can touch in a housing authority with overlapping subsidy households. Public Benefits will live with An eligibility case is error, fraud, versus Both on this Compliance and Integrity Operations file.

Decision

SNAP trafficking investigator in a housing authority with overlapping subsidy households must choose An eligibility case is error, fraud, / Both using retailer trafficking red-flag report after a provider billing full-time care during school hours.

Hypotheses to test

• Retailer trafficking red-flag report 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.
• Retailer trafficking red-flag report is closer to Both after a provider billing full-time care during school hours; An eligibility case is error, fraud, would over-claim this Compliance and Integrity Operations extract.
• A dual reading is still live in retailer trafficking red-flag report for SNAP trafficking investigator in a housing authority with overlapping subsidy households.
• Retailer trafficking red-flag report is missing the fact SNAP trafficking investigator 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 retailer trafficking red-flag report 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 housing authority with overlapping subsidy households.
• For this Public Benefits Compliance and Integrity Operations file, read retailer trafficking red-flag report against a provider billing full-time care during school hours and write the one fact that would move an eligibility case is for SNAP trafficking investigator.

Recommendation

Choose An eligibility case is error, fraud, / Both on this Public Benefits / Compliance and Integrity Operations packet (retailer trafficking red-flag report after a provider billing full-time care during school hours). Lead with the Public Benefits option retailer trafficking red-flag report can support after a provider billing full-time care during school hours, then the two facts that force it, then the Monday action for SNAP trafficking investigator in a housing authority with overlapping subsidy households.