Assess whether a household is receiving duplicate subsidies (07507a)

Situation

A recoupment that would make a household homeless put housing overlapping-address and income file in front of Medicaid eligibility integrity analyst in a benefits issuance vendor after a file-control break. This Public Benefits / Recoupment and Policy close is a household is receiving from housing overlapping-address and income file, and the live options are Pay or continue, Recoup, Deny.

Decision

Medicaid eligibility integrity analyst in a benefits issuance vendor after a file-control break must choose Pay or continue / Recoup / Deny / Hold using housing overlapping-address and income file after a recoupment that would make a household homeless.

Hypotheses to test

• The population in housing overlapping-address and income file is the one a recoupment that would make a household homeless named, so Pay or continue follows for this Recoupment and Policy file.
• The population in housing overlapping-address and income file is adjacent only to a recoupment that would make a household homeless; Recoup is the honest Public Benefits call.
• A benefits issuance vendor after a file-control break already contained a recoupment that would make a household homeless before housing overlapping-address and income file arrived; no new Recoupment and Policy path.
• Provenance on housing overlapping-address and income file after a recoupment that would make a household homeless is broken; do not pick Pay or continue or Recoup yet.

Analysis required

• Match household facts in housing overlapping-address and income file to the rule that pays the benefit.
• Trace the notice and appeal path Medicaid eligibility integrity analyst must preserve.
• Test eligibility, recoupment, and improper-payment facts in housing overlapping-address and income file after a recoupment that would make a household homeless.
• For this Public Benefits Recoupment and Policy file, read housing overlapping-address and income file against a recoupment that would make a household homeless and write the one fact that would move a household is receiving for Medicaid eligibility integrity analyst.

Recommendation

Choose Pay or continue / Recoup / Deny / Hold on this Public Benefits / Recoupment and Policy packet (housing overlapping-address and income file after a recoupment that would make a household homeless). If housing overlapping-address and income file cannot force a Public Benefits label under Recoupment and Policy, stop. If housing overlapping-address and income file after a recoupment that would make a household homeless cannot support Pay or continue versus Recoup on this Public Benefits Recoupment and Policy close, Medicaid eligibility integrity analyst must do not pay, recoup, or deny beyond the eligibility record.