Assess whether a household is receiving duplicate subsidies (fea297)

Situation

A USDA retailer disqualification packet due Friday put identity-proofing exception queue in front of issuance-system integrity manager in a Medicaid agency with a surge in MAGI mismatches. This Public Benefits / Recoupment and Policy close is a household is receiving from identity-proofing exception queue, and the live options are Pay or continue, Recoup, Deny.

Decision

Issuance-system integrity manager in a Medicaid agency with a surge in MAGI mismatches must choose Pay or continue / Recoup / Deny / Hold using identity-proofing exception queue after a USDA retailer disqualification packet due Friday.

Hypotheses to test

• Issuance-system integrity manager can defend Pay or continue from identity-proofing exception queue after a USDA retailer disqualification packet due Friday in a Public Benefits challenge.
• Issuance-system integrity manager cannot defend Pay or continue from identity-proofing exception queue; Recoup is what the extract actually supports after a USDA retailer disqualification packet due Friday.
• A USDA retailer disqualification packet due Friday never reached the population in identity-proofing exception queue — reopen intake, do not close a household is receiving.
• Two facts in identity-proofing exception queue after a USDA retailer disqualification packet due Friday conflict for issuance-system integrity manager; hold this Recoupment and Policy file.

Analysis required

• Trace the notice and appeal path issuance-system integrity manager must preserve.
• Test eligibility, recoupment, and improper-payment facts in identity-proofing exception queue after a USDA retailer disqualification packet due Friday.
• Quantify overpayment if a household is receiving is wrong.
• For this Public Benefits Recoupment and Policy file, read identity-proofing exception queue against a USDA retailer disqualification packet due Friday 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 / Recoupment and Policy packet (identity-proofing exception queue after a USDA retailer disqualification packet due Friday). The follow-on Recoupment and Policy action is what issuance-system integrity manager does next: implement the option, assign an owner, and log the missing fact.