Assess whether a household is receiving duplicate subsidies (8ed7f7)

Situation

EBT out-of-state redemption cluster arrived with a MAGI mismatch that could be a household-size coding error for disability continuing-eligibility reviewer. That is a Public Benefits Trafficking and Eligibility Fraud decision on a household is receiving in a benefits issuance vendor after a file-control break.

Decision

Disability continuing-eligibility reviewer in a benefits issuance vendor after a file-control break must choose Pay or continue / Recoup / Deny / Hold using EBT out-of-state redemption cluster after a MAGI mismatch that could be a household-size coding error.

Hypotheses to test

• The population in EBT out-of-state redemption cluster is the one a MAGI mismatch that could be a household-size coding error named, so Pay or continue follows for this Trafficking and Eligibility Fraud file.
• The population in EBT out-of-state redemption cluster is adjacent only to a MAGI mismatch that could be a household-size coding error; Recoup is the honest Public Benefits call.
• A benefits issuance vendor after a file-control break already contained a MAGI mismatch that could be a household-size coding error before EBT out-of-state redemption cluster arrived; no new Trafficking and Eligibility Fraud path.
• Provenance on EBT out-of-state redemption cluster after a MAGI mismatch that could be a household-size coding error is broken; do not pick Pay or continue or Recoup yet.

Analysis required

• Trace the notice and appeal path disability continuing-eligibility reviewer must preserve.
• Test eligibility, recoupment, and improper-payment facts in EBT out-of-state redemption cluster after a MAGI mismatch that could be a household-size coding error.
• Quantify overpayment if a household is receiving is wrong.
• For this Public Benefits Trafficking and Eligibility Fraud file, read EBT out-of-state redemption cluster against a MAGI mismatch that could be a household-size coding error and write the one fact that would move a household is receiving for disability continuing-eligibility reviewer.

Recommendation

Choose Pay or continue / Recoup / Deny / Hold on this Public Benefits / Trafficking and Eligibility Fraud packet (EBT out-of-state redemption cluster after a MAGI mismatch that could be a household-size coding error). The follow-on Trafficking and Eligibility Fraud action is what disability continuing-eligibility reviewer does next: implement the option, assign an owner, and log the missing fact.