Assess whether a household is receiving duplicate subsidies (2ea934)

Situation

After a TANF case with unsigned work-activity forms, housing overlapping-address and income file is what Medicaid eligibility integrity analyst can touch in a child-care subsidy program with related-provider clusters. Public Benefits will live with Pay or continue versus Recoup on this Trafficking and Eligibility Fraud file.

Decision

Medicaid eligibility integrity analyst in a child-care subsidy program with related-provider clusters must choose Pay or continue / Recoup / Deny / Hold using housing overlapping-address and income file after a TANF case with unsigned work-activity forms.

Hypotheses to test

• A TANF case with unsigned work-activity forms is noise around an already-controlled Trafficking and Eligibility Fraud process in a child-care subsidy program with related-provider clusters, given housing overlapping-address and income file.
• A TANF case with unsigned work-activity forms is the event in housing overlapping-address and income file that forces Pay or continue for Medicaid eligibility integrity analyst under Public Benefits.
• Housing overlapping-address and income file shows a one-file miss after a TANF case with unsigned work-activity forms, not a Trafficking and Eligibility Fraud program failure.
• Housing overlapping-address and income file cannot decide a household is receiving yet after a TANF case with unsigned work-activity forms; hold is the only Public Benefits close a child-care subsidy program with related-provider clusters can defend.

Analysis required

• Test eligibility, recoupment, and improper-payment facts in housing overlapping-address and income file after a TANF case with unsigned work-activity forms.
• Quantify overpayment if a household is receiving is wrong.
• Separate a case-level error from a program-design failure in a child-care subsidy program with related-provider clusters.
• For this Public Benefits Trafficking and Eligibility Fraud file, read housing overlapping-address and income file against a TANF case with unsigned work-activity forms 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 / Trafficking and Eligibility Fraud packet (housing overlapping-address and income file after a TANF case with unsigned work-activity forms). The follow-on Trafficking and Eligibility Fraud action is what Medicaid eligibility integrity analyst does next: implement the option, assign an owner, and log the missing fact.