Assess whether an eligibility case is error, fraud, or both (ff3cfe)

SITUATION Housing overlapping-address and income file arrived with a CDR where treating-source evidence conflicts with a CE. TANF work-requirement monitor in a UI shop after a synthetic-identity filing spike still has an evidence gap on whether an eligibility case is error, fraud, or both.

DECISION TANF work-requirement monitor in a UI shop after a synthetic-identity filing spike must choose An eligibility case is error, fraud, / Both using housing overlapping-address and income file after a CDR where treating-source evidence conflicts with a CE.

HYPOTHESES TO TEST 1. The population in housing overlapping-address and income file is the one a CDR where treating-source evidence conflicts with a CE named, so An eligibility case is error, fraud, follows for this Compliance and Integrity Operations file. 2. The population in housing overlapping-address and income file is adjacent only to a CDR where treating-source evidence conflicts with a CE; Both is the honest Public Benefits call. 3. A UI shop after a synthetic-identity filing spike already contained a CDR where treating-source evidence conflicts with a CE before housing overlapping-address and income file arrived; no new Compliance and Integrity Operations path. 4. Provenance on housing overlapping-address and income file after a CDR where treating-source evidence conflicts with a CE is broken; do not pick An eligibility case is error, fraud, or Both yet.

ANALYSIS REQUIRED 1. Match household facts in housing overlapping-address and income file to the rule that pays the benefit. 2. Trace the notice and appeal path TANF work-requirement monitor must preserve. 3. Test eligibility, recoupment, and improper-payment facts in housing overlapping-address and income file after a CDR where treating-source evidence conflicts with a CE. 4. For this Public Benefits Compliance and Integrity Operations file, read housing overlapping-address and income file against a CDR where treating-source evidence conflicts with a CE and write the one fact that would move an eligibility case is for TANF work-requirement monitor.

RECOMMENDATION Choose An eligibility case is error, fraud, / Both on this Public Benefits / Compliance and Integrity Operations packet (housing overlapping-address and income file after a CDR where treating-source evidence conflicts with a CE). 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.

COMMAND RETURNS - Bottom-line Public Benefits option on an eligibility case is, then the evidence in housing overlapping-address and income file, then the action for TANF work-requirement monitor - Hypothesis scorecard against housing overlapping-address and income file: supported / rejected / untestable - What changes an eligibility case is if a CDR where treating-source evidence conflicts with a CE is later withdrawn - Named option among An eligibility case is error, fraud,, Both and the fact that kills the others