Assess whether an eligibility case is error, fraud, or both (5b252e)

Situation

After a MAGI mismatch that could be a household-size coding error, TANF work-hours that cannot be corroborated is what disability continuing-eligibility reviewer can touch in a child-care subsidy program with related-provider clusters. Public Benefits will live with An eligibility case is error, fraud, versus Both on this Recoupment and Policy file.

Decision

Disability continuing-eligibility reviewer in a child-care subsidy program with related-provider clusters must choose An eligibility case is error, fraud, / Both using TANF work-hours that cannot be corroborated after a MAGI mismatch that could be a household-size coding error.

Hypotheses to test

• A MAGI mismatch that could be a household-size coding error is noise around an already-controlled Recoupment and Policy process in a child-care subsidy program with related-provider clusters, given TANF work-hours that cannot be corroborated.
• A MAGI mismatch that could be a household-size coding error is the event in TANF work-hours that cannot be corroborated that forces An eligibility case is error, fraud, for disability continuing-eligibility reviewer under Public Benefits.
• TANF work-hours that cannot be corroborated shows a one-file miss after a MAGI mismatch that could be a household-size coding error, not a Recoupment and Policy program failure.
• TANF work-hours that cannot be corroborated cannot decide an eligibility case is yet after a MAGI mismatch that could be a household-size coding error; hold is the only Public Benefits close a child-care subsidy program with related-provider clusters can defend.

Analysis required

• Quantify overpayment if an eligibility case is is wrong.
• Separate a case-level error from a program-design failure in a child-care subsidy program with related-provider clusters.
• Match household facts in TANF work-hours that cannot be corroborated to the rule that pays the benefit.
• For this Public Benefits Recoupment and Policy file, read TANF work-hours that cannot be corroborated against a MAGI mismatch that could be a household-size coding error and write the one fact that would move an eligibility case is for disability continuing-eligibility reviewer.

Recommendation

Choose An eligibility case is error, fraud, / Both on this Public Benefits / Recoupment and Policy packet (TANF work-hours that cannot be corroborated after a MAGI mismatch that could be a household-size coding error). The follow-on Recoupment and Policy action is what disability continuing-eligibility reviewer does next: implement the option, assign an owner, and log the missing fact.