Assess whether a household is receiving duplicate subsidies (d36c59)

Situation

After a provider billing full-time care during school hours, retailer trafficking red-flag report is what housing-subsidy fraud investigator can touch in a housing authority with overlapping subsidy households. Public Benefits will live with Pay or continue versus Recoup on this Recoupment and Policy file.

Decision

Housing-subsidy fraud investigator in a housing authority with overlapping subsidy households must choose Pay or continue / Recoup / Deny / Hold using retailer trafficking red-flag report after a provider billing full-time care during school hours.

Hypotheses to test

• Retailer trafficking red-flag report reads as Pay or continue once a provider billing full-time care during school hours is lined up to the same Public Benefits population.
• Retailer trafficking red-flag report is closer to Recoup after a provider billing full-time care during school hours; Pay or continue would over-claim this Recoupment and Policy extract.
• Deny is still live in retailer trafficking red-flag report for housing-subsidy fraud investigator in a housing authority with overlapping subsidy households.
• Retailer trafficking red-flag report is missing the fact housing-subsidy fraud investigator needs after a provider billing full-time care during school hours; stop this Public Benefits close.

Analysis required

• Quantify overpayment if a household is receiving is wrong.
• Separate a case-level error from a program-design failure in a housing authority with overlapping subsidy households.
• Match household facts in retailer trafficking red-flag report to the rule that pays the benefit.
• For this Public Benefits Recoupment and Policy file, read retailer trafficking red-flag report against a provider billing full-time care during school hours 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 / Recoupment and Policy packet (retailer trafficking red-flag report after a provider billing full-time care during school hours). Lead with the Public Benefits option retailer trafficking red-flag report can support after a provider billing full-time care during school hours, then the two facts that force it, then the Monday action for housing-subsidy fraud investigator in a housing authority with overlapping subsidy households.