Whether a household is receiving duplicate subsidies from TANF work-hours

Situation

A household is receiving sits with Medicaid eligibility integrity analyst because a CDR where treating-source evidence conflicts with a CE hit a child-care subsidy program with related-provider clusters. Evidence is TANF work-hours that cannot be corroborated; write the Public Benefits Trafficking and Eligibility Fraud option that extract can carry.

Decision

Medicaid eligibility integrity analyst in a child-care subsidy program with related-provider clusters must choose Pay or continue / Recoup / Deny / Hold using TANF work-hours that cannot be corroborated after a CDR where treating-source evidence conflicts with a CE.

Hypotheses to test

• A CDR where treating-source evidence conflicts with a CE is noise around an already-controlled Trafficking and Eligibility Fraud process in a child-care subsidy program with related-provider clusters, given TANF work-hours that cannot be corroborated.
• A CDR where treating-source evidence conflicts with a CE is the event in TANF work-hours that cannot be corroborated that forces Pay or continue for Medicaid eligibility integrity analyst under Public Benefits.
• TANF work-hours that cannot be corroborated shows a one-file miss after a CDR where treating-source evidence conflicts with a CE, not a Trafficking and Eligibility Fraud program failure.
• TANF work-hours that cannot be corroborated cannot decide a household is receiving yet after a CDR where treating-source evidence conflicts with a CE; 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 TANF work-hours that cannot be corroborated after a CDR where treating-source evidence conflicts with a CE.
• 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 TANF work-hours that cannot be corroborated against a CDR where treating-source evidence conflicts with a CE and write the one fact that would move a household is receiving for Medicaid eligibility integrity analyst.

Recommendation