Assess whether an eligibility case is error, fraud, or both (c01ebb)

Situation

In a state SNAP agency after an EBT skimming wave, TANF work-hours that cannot be corroborated is the evidence after a provider billing full-time care during school hours. TANF work-requirement monitor has to pick An eligibility case is error, fraud, or Both for this Public Benefits Recoupment and Policy close using TANF work-hours that cannot be corroborated.

Decision

TANF work-requirement monitor in a state SNAP agency after an EBT skimming wave must choose An eligibility case is error, fraud, / Both using TANF work-hours that cannot be corroborated after a provider billing full-time care during school hours.

Hypotheses to test

• A provider billing full-time care during school hours is noise around an already-controlled Recoupment and Policy process in a state SNAP agency after an EBT skimming wave, given TANF work-hours that cannot be corroborated.
• A provider billing full-time care during school hours is the event in TANF work-hours that cannot be corroborated that forces An eligibility case is error, fraud, for TANF work-requirement monitor under Public Benefits.
• TANF work-hours that cannot be corroborated shows a one-file miss after a provider billing full-time care during school hours, not a Recoupment and Policy program failure.
• TANF work-hours that cannot be corroborated cannot decide an eligibility case is yet after a provider billing full-time care during school hours; hold is the only Public Benefits close a state SNAP agency after an EBT skimming wave can defend.

Analysis required

• Trace the notice and appeal path TANF work-requirement monitor must preserve.
• Test eligibility, recoupment, and improper-payment facts in TANF work-hours that cannot be corroborated after a provider billing full-time care during school hours.
• Quantify overpayment if an eligibility case is is wrong.
• For this Public Benefits Recoupment and Policy file, read TANF work-hours that cannot be corroborated against a provider billing full-time care during school hours 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 / Recoupment and Policy packet (TANF work-hours that cannot be corroborated after a provider billing full-time care during school hours). The follow-on Recoupment and Policy action is what TANF work-requirement monitor does next: implement the option, assign an owner, and log the missing fact.