Assess whether a household is receiving duplicate subsidies (fbe089)

Situation

A MAGI mismatch that could be a household-size coding error put identity-proofing exception queue in front of housing-subsidy fraud investigator in a state SNAP agency after an EBT skimming wave. This Public Benefits / Compliance and Integrity Operations close is a household is receiving from identity-proofing exception queue, and the live options are Pay or continue, Recoup, Deny.

Decision

Housing-subsidy fraud investigator in a state SNAP agency after an EBT skimming wave must choose Pay or continue / Recoup / Deny / Hold using identity-proofing exception queue after a MAGI mismatch that could be a household-size coding error.

Hypotheses to test

• A MAGI mismatch that could be a household-size coding error is noise around an already-controlled Compliance and Integrity Operations process in a state SNAP agency after an EBT skimming wave, given identity-proofing exception queue.
• A MAGI mismatch that could be a household-size coding error is the event in identity-proofing exception queue that forces Pay or continue for housing-subsidy fraud investigator under Public Benefits.
• Identity-proofing exception queue shows a one-file miss after a MAGI mismatch that could be a household-size coding error, not a Compliance and Integrity Operations program failure.
• Identity-proofing exception queue cannot decide a household is receiving yet after a MAGI mismatch that could be a household-size coding error; hold is the only Public Benefits close a state SNAP agency after an EBT skimming wave can defend.

Analysis required

• Separate a case-level error from a program-design failure in a state SNAP agency after an EBT skimming wave.
• Match household facts in identity-proofing exception queue to the rule that pays the benefit.
• Trace the notice and appeal path housing-subsidy fraud investigator must preserve.
• For this Public Benefits Compliance and Integrity Operations file, read identity-proofing exception queue against a MAGI mismatch that could be a household-size coding error and write the one fact that would move a household is receiving for housing-subsidy fraud investigator.

Recommendation

Choose Pay or continue / Recoup / Deny / Hold on this Public Benefits / Compliance and Integrity Operations packet (identity-proofing exception queue after a MAGI mismatch that could be a household-size coding error). The follow-on Compliance and Integrity Operations action is what housing-subsidy fraud investigator does next: implement the option, assign an owner, and log the missing fact.