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Overpayments and Claims for FS and MFIP

Overpayments and Claims for FS and MFIP. Presented by Amanda Darwin and Scott Wotzka. Workshop Objectives. Recognize when FS and MFIP overpayments occur Understand claim policy for FS and MFIP. Types of overpayments. Agency error Client or Household error Fraud error.

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Overpayments and Claims for FS and MFIP

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  1. Overpayments and ClaimsforFS and MFIP Presented by Amanda Darwin and Scott Wotzka

  2. Workshop Objectives • Recognize when FS and MFIP overpayments occur • Understand claim policy for FS and MFIP

  3. Types of overpayments • Agency error • Client or Household error • Fraud error

  4. Overpayments:Who’s Responsible?

  5. Discovery and Established Dates • Discovery Date – The date the claim was discovered to exist. • Established Date – The date the claim action was first taken or the date the claim was entered into MAXIS

  6. County Collection Incentives • Direct Recoveries – 50% • Food Support and Food Portion • Fraud – 35 % • Household – 20% • Agency - 0

  7. Offset Restored Benefits Repayment Agreement Recoupment Criminal Restitution Civil Recovery JOL Revenue Recapture Collection Division (MCE) TOP Recovery Methods

  8. Prospective Budgeting • You used the best information available at the time, • You applied the correct policy, and • There was no client error. CM 0025.03 No overpayment when:

  9. Reporting Changes • Mail • Phone • In person

  10. Loss of Earned Income Deductions • MFIP Earned Income Disregard • Food Support Work Expense Deduction When calculating overpayments, for income not reported within 60 days of the month of receipt, do not allow:

  11. What Policy???

  12. MFIP Overpayments

  13. MFIP Client Error Overpayment Determine overpayments when: • The unit does not report the change timely, AND • You would have been able to give proper notice if you had acted on the date the change occurred.

  14. MFIP Reporting Requirements • 10 days after the change occurs • At recertification • 8 calendar days after the end of the report period (HRF's) • Immediately, while application is pending Earliest of:

  15. MFIPNotice Requirements 10 Day Notice • Required for most adverse actions Cash Cut-off Notice • Applies to most client error overpayments

  16. MFIP HouseholdChange Exception When a mandatory unit member enters a household, and the unit fails to report the change timely, calculate the overpayment starting with the month the mandatory unit member arrives.

  17. Budgeting MFIP Overpayments Use retrospective budgeting continuously for all months originally budgeted retrospectively whether or not there were months of total ineligibility.

  18. MFIP Overpayment Checklist • Change reported timely? • Proper notice? • Household change exception? • Budget cycle? • Agency error?

  19. Food Support Overpayments

  20. Food Support Client Error Overpayments Determine overpayments when: • The unit does not report timely, AND • You would have been able to send proper notice on the 10th day after the last day the unit could have reported timely.

  21. Food Support Reporting Changes • Six Month Reporters • Change Reporters

  22. Food Support Notice Requirements 10 Day Notice • Required for most adverse actions Adequate Notice • Applies to changes reported on HRF, CSR or CAF

  23. Claim Determination Report • Required to be completed • Use MAXIS budget screen prints for case record

  24. Food Support Overpayment Checklist • Change reported timely? • Proper notice? • Budget cycle? (prior to 03/09) • Categorical eligibility? • Agency error?

  25. Thank you for participating!

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