Assess whether a policy change would reduce error without harming access

Situation

In a housing authority with overlapping subsidy households, Medicaid household composition vs. wage records is the evidence after an identity-proofing vendor outage that opened a manual path. SNAP trafficking investigator has to pick Pay or continue or Recoup for this Public Benefits Compliance and Integrity Operations close using Medicaid household composition vs. wage records.

Decision

SNAP trafficking investigator in a housing authority with overlapping subsidy households must choose Pay or continue / Recoup / Deny / Hold using Medicaid household composition vs. wage records after an identity-proofing vendor outage that opened a manual path — specific to Medicaid household composition vs. wage records after an identity-proofing vendor outage that opened a manual path on this Public Benefits Compliance and Integrity Operations file for SNAP trafficking investigator in a housing authority with overlapping subsidy households.

Hypotheses to test

• Medicaid household composition vs. wage records reads as Pay or continue once an identity-proofing vendor outage that opened a manual path is lined up to the same Public Benefits population.
• Medicaid household composition vs. wage records is closer to Recoup after an identity-proofing vendor outage that opened a manual path; Pay or continue would over-claim this Compliance and Integrity Operations extract.
• Deny is still live in Medicaid household composition vs. wage records for SNAP trafficking investigator in a housing authority with overlapping subsidy households.
• Medicaid household composition vs. wage records is missing the fact SNAP trafficking investigator needs after an identity-proofing vendor outage that opened a manual path; stop this Public Benefits close.

Analysis required

• Quantify overpayment if a policy change would is wrong.
• Separate a case-level error from a program-design failure in a housing authority with overlapping subsidy households.
• Match household facts in Medicaid household composition vs. wage records to the rule that pays the benefit.
• For this Public Benefits Compliance and Integrity Operations file, read Medicaid household composition vs. wage records against an identity-proofing vendor outage that opened a manual path and write the one fact that would move a policy change would for SNAP trafficking investigator.