Assess whether to recoup, waive, or refer for prosecution (2e1775)

SITUATION Issuance file-control totals that will not balance arrived with a CDR where treating-source evidence conflicts with a CE for disability continuing-eligibility reviewer. That is a Public Benefits Recoupment and Policy decision on to recoup, waive, or refer in a child-care subsidy program with related-provider clusters.

DECISION Disability continuing-eligibility reviewer in a child-care subsidy program with related-provider clusters must choose To recoup, waive, / Refer for prosecution using issuance file-control totals that will not balance after a CDR where treating-source evidence conflicts with a CE.

HYPOTHESES TO TEST 1. A CDR where treating-source evidence conflicts with a CE is noise around an already-controlled Recoupment and Policy process in a child-care subsidy program with related-provider clusters, given issuance file-control totals that will not balance. 2. A CDR where treating-source evidence conflicts with a CE is the event in issuance file-control totals that will not balance that forces To recoup, waive, for disability continuing-eligibility reviewer under Public Benefits. 3. Issuance file-control totals that will not balance shows a one-file miss after a CDR where treating-source evidence conflicts with a CE, not a Recoupment and Policy program failure. 4. Issuance file-control totals that will not balance cannot decide to recoup, waive, or refer 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 1. Trace the notice and appeal path disability continuing-eligibility reviewer must preserve. 2. Test eligibility, recoupment, and improper-payment facts in issuance file-control totals that will not balance after a CDR where treating-source evidence conflicts with a CE. 3. Quantify overpayment if to recoup, waive, or refer is wrong. 4. For this Public Benefits Recoupment and Policy file, read issuance file-control totals that will not balance against a CDR where treating-source evidence conflicts with a CE and write the one fact that would move to recoup, waive, or refer for disability continuing-eligibility reviewer.

RECOMMENDATION Choose To recoup, waive, / Refer for prosecution on this Public Benefits / Recoupment and Policy packet (issuance file-control totals that will not balance after a CDR where treating-source evidence conflicts with a CE). The follow-on Recoupment and Policy action is what disability continuing-eligibility reviewer does next: implement the option, assign an owner, and log the missing fact.

COMMAND RETURNS - Bottom-line Public Benefits option on to recoup, waive, or refer, then the evidence in issuance file-control totals that will not balance, then the action for disability continuing-eligibility reviewer - Hypothesis scorecard against issuance file-control totals that will not balance: supported / rejected / untestable - What changes to recoup, waive, or refer if a CDR where treating-source evidence conflicts with a CE is later withdrawn - Named option among To recoup, waive,, Refer for prosecution and the fact that kills the others