Assess whether a provider's attendance is fabricated (e02b82)

Situation

After a MAGI mismatch that could be a household-size coding error, EBT out-of-state redemption cluster is what SNAP trafficking investigator can touch in a housing authority with overlapping subsidy households. Public Benefits will live with Pay or continue versus Recoup on this Compliance and Integrity Operations file.

Decision

SNAP trafficking investigator in a housing authority with overlapping subsidy households must choose Pay or continue / Recoup / Deny / Hold using EBT out-of-state redemption cluster after a MAGI mismatch that could be a household-size coding error.

Hypotheses to test

• EBT out-of-state redemption cluster reads as Pay or continue once a MAGI mismatch that could be a household-size coding error is lined up to the same Public Benefits population.
• EBT out-of-state redemption cluster is closer to Recoup after a MAGI mismatch that could be a household-size coding error; Pay or continue would over-claim this Compliance and Integrity Operations extract.
• Deny is still live in EBT out-of-state redemption cluster for SNAP trafficking investigator in a housing authority with overlapping subsidy households.
• EBT out-of-state redemption cluster is missing the fact SNAP trafficking investigator needs after a MAGI mismatch that could be a household-size coding error; stop this Public Benefits close.

Analysis required

• Test eligibility, recoupment, and improper-payment facts in EBT out-of-state redemption cluster after a MAGI mismatch that could be a household-size coding error.
• Quantify overpayment if a provider's attendance is is wrong.
• Separate a case-level error from a program-design failure in a housing authority with overlapping subsidy households.
• For this Public Benefits Compliance and Integrity Operations file, read EBT out-of-state redemption cluster against a MAGI mismatch that could be a household-size coding error and write the one fact that would move a provider's attendance is for SNAP trafficking investigator.

Recommendation

Choose Pay or continue / Recoup / Deny / Hold on this Public Benefits / Compliance and Integrity Operations packet (EBT out-of-state redemption cluster after a MAGI mismatch that could be a household-size coding error). The follow-on Compliance and Integrity Operations action is what SNAP trafficking investigator does next: implement the option, assign an owner, and log the missing fact.