Assess whether a household is receiving duplicate subsidies (9f262d)

Situation

After a provider billing full-time care during school hours, identity-proofing exception queue is what child-care provider integrity lead can touch in a disability unit facing a backlog of CDRs. Public Benefits will live with Pay or continue versus Recoup on this Recoupment and Policy file.

Decision

Child-care provider integrity lead in a disability unit facing a backlog of CDRs must choose Pay or continue / Recoup / Deny / Hold using identity-proofing exception queue after a provider billing full-time care during school hours.

Hypotheses to test

• The population in identity-proofing exception queue is the one a provider billing full-time care during school hours named, so Pay or continue follows for this Recoupment and Policy file.
• The population in identity-proofing exception queue is adjacent only to a provider billing full-time care during school hours; Recoup is the honest Public Benefits call.
• A disability unit facing a backlog of CDRs already contained a provider billing full-time care during school hours before identity-proofing exception queue arrived; no new Recoupment and Policy path.
• Provenance on identity-proofing exception queue after a provider billing full-time care during school hours is broken; do not pick Pay or continue or Recoup yet.

Analysis required

• Test eligibility, recoupment, and improper-payment facts in identity-proofing exception queue after a provider billing full-time care during school hours.
• Quantify overpayment if a household is receiving is wrong.
• Separate a case-level error from a program-design failure in a disability unit facing a backlog of CDRs.
• For this Public Benefits Recoupment and Policy file, read identity-proofing exception queue against a provider billing full-time care during school hours and write the one fact that would move a household is receiving for child-care provider integrity lead.

Recommendation

Choose Pay or continue / Recoup / Deny / Hold on this Public Benefits / Recoupment and Policy packet (identity-proofing exception queue after a provider billing full-time care during school hours). The follow-on Recoupment and Policy action is what child-care provider integrity lead does next: implement the option, assign an owner, and log the missing fact.