Assess whether a provider's attendance is fabricated (462e67)

Situation

TANF work-requirement monitor in a UI shop after a synthetic-identity filing spike has one working extract — identity-proofing exception queue — after a MAGI mismatch that could be a household-size coding error. If identity-proofing exception queue cannot support a provider's attendance is, the honest Public Benefits output is hold.

Decision

TANF work-requirement monitor in a UI shop after a synthetic-identity filing spike must choose Pay or continue / Recoup / Deny / Hold using identity-proofing exception queue after a MAGI mismatch that could be a household-size coding error.

Hypotheses to test

• TANF work-requirement monitor can defend Pay or continue from identity-proofing exception queue after a MAGI mismatch that could be a household-size coding error in a Public Benefits challenge.
• TANF work-requirement monitor cannot defend Pay or continue from identity-proofing exception queue; Recoup is what the extract actually supports after a MAGI mismatch that could be a household-size coding error.
• A MAGI mismatch that could be a household-size coding error never reached the population in identity-proofing exception queue — reopen intake, do not close a provider's attendance is.
• Two facts in identity-proofing exception queue after a MAGI mismatch that could be a household-size coding error conflict for TANF work-requirement monitor; hold this Compliance and Integrity Operations file.

Analysis required

• Separate a case-level error from a program-design failure in a UI shop after a synthetic-identity filing spike.
• Match household facts in identity-proofing exception queue to the rule that pays the benefit.
• Trace the notice and appeal path TANF work-requirement monitor must preserve.
• For this Public Benefits Compliance and Integrity Operations file, read identity-proofing exception queue 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 TANF work-requirement monitor.

Recommendation

Choose Pay or continue / Recoup / Deny / Hold on this Public Benefits / Compliance and Integrity Operations packet (identity-proofing exception queue after a MAGI mismatch that could be a household-size coding error). The follow-on Compliance and Integrity Operations action is what TANF work-requirement monitor does next: implement the option, assign an owner, and log the missing fact.