Assess whether a household is receiving duplicate subsidies after a provider

Situation

A provider billing full-time care during school hours put housing overlapping-address and income file in front of TANF work-requirement monitor in a TANF office with thin work-participation documentation. This Public Benefits / Trafficking and Eligibility Fraud close is a household is receiving from housing overlapping-address and income file, and the live options are Pay or continue, Recoup, Deny.

Decision

TANF work-requirement monitor in a TANF office with thin work-participation documentation must choose Pay or continue / Recoup / Deny / Hold using housing overlapping-address and income file after a provider billing full-time care during school hours.

Hypotheses to test

• Housing overlapping-address and income file reads as Pay or continue once a provider billing full-time care during school hours is lined up to the same Public Benefits population.
• Housing overlapping-address and income file is closer to Recoup after a provider billing full-time care during school hours; Pay or continue would over-claim this Trafficking and Eligibility Fraud extract.
• Deny is still live in housing overlapping-address and income file for TANF work-requirement monitor in a TANF office with thin work-participation documentation.
• Housing overlapping-address and income file is missing the fact TANF work-requirement monitor needs after a provider billing full-time care during school hours; stop this Public Benefits close.

Analysis required

• Trace the notice and appeal path TANF work-requirement monitor must preserve.
• Test eligibility, recoupment, and improper-payment facts in housing overlapping-address and income file after a provider billing full-time care during school hours.
• Quantify overpayment if a household is receiving is wrong.
• For this Public Benefits Trafficking and Eligibility Fraud file, read housing overlapping-address and income file against a provider billing full-time care during school hours and write the one fact that would move a household is receiving for TANF work-requirement monitor.

Recommendation

Choose Pay or continue / Recoup / Deny / Hold on this Public Benefits / Trafficking and Eligibility Fraud packet (housing overlapping-address and income file after a provider billing full-time care during school hours). The follow-on Trafficking and Eligibility Fraud action is what TANF work-requirement monitor does next: implement the option, assign an owner, and log the missing fact.