Assess whether a household is receiving duplicate subsidies (fecb2d)

Situation

After an identity-proofing vendor outage that opened a manual path, issuance file-control totals that will not balance is what issuance-system integrity manager can touch in a child-care subsidy program with related-provider clusters. Public Benefits will live with Pay or continue versus Recoup on this Compliance and Integrity Operations file.

Decision

Issuance-system integrity manager in a child-care subsidy program with related-provider clusters must choose Pay or continue / Recoup / Deny / Hold using issuance file-control totals that will not balance after an identity-proofing vendor outage that opened a manual path.

Hypotheses to test

• Issuance file-control totals that will not balance 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.
• Issuance file-control totals that will not balance 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 issuance file-control totals that will not balance for issuance-system integrity manager in a child-care subsidy program with related-provider clusters.
• Issuance file-control totals that will not balance is missing the fact issuance-system integrity manager needs after an identity-proofing vendor outage that opened a manual path; stop this Public Benefits close.

Analysis required

• Separate a case-level error from a program-design failure in a child-care subsidy program with related-provider clusters.
• Match household facts in issuance file-control totals that will not balance to the rule that pays the benefit.
• Trace the notice and appeal path issuance-system integrity manager must preserve.
• For this Public Benefits Compliance and Integrity Operations file, read issuance file-control totals that will not balance against an identity-proofing vendor outage that opened a manual path and write the one fact that would move a household is receiving for issuance-system integrity manager.

Recommendation

Choose Pay or continue / Recoup / Deny / Hold on this Public Benefits / Compliance and Integrity Operations packet (issuance file-control totals that will not balance after an identity-proofing vendor outage that opened a manual path). Lead with the Public Benefits option issuance file-control totals that will not balance can support after an identity-proofing vendor outage that opened a manual path, then the two facts that force it, then the Monday action for issuance-system integrity manager in a child-care subsidy program with related-provider clusters.