Assess whether identity proofing exceptions are being abused (5cfef4)

SITUATION Issuance-system integrity manager is responsible for identity proofing exceptions are in a child-care subsidy program, using related-provider clusters with issuance file-control totals that will not balance as the only working extract. An identity-proofing vendor outage that opened a manual path is what reset the timeline for this Public Benefits Compliance and Integrity Operations file.

DECISION Issuance-system integrity manager in a child-care subsidy program with related-provider clusters must choose Pay or continue / Recoup / Deny / Hold using issuance file-control totals that will not balance after an identity-proofing vendor outage that opened a manual path.

HYPOTHESES TO TEST 1. The population named in issuance file-control totals that will not balance is the one an identity-proofing vendor outage that opened a manual path identified, so Pay or continue follows for this Compliance and Integrity Operations file. 2. The population in issuance file-control totals that will not balance is only adjacent to an identity-proofing vendor outage that opened a manual path; Recoup is the honest Public Benefits call for issuance-system integrity manager. 3. A child-care subsidy program with related-provider clusters already contained an identity-proofing vendor outage that opened a manual path before issuance file-control totals that will not balance arrived, so identity proofing exceptions are is not a new Compliance and Integrity Operations path. 4. Provenance on issuance file-control totals that will not balance after an identity-proofing vendor outage that opened a manual path is broken; do not pick Pay or continue or Recoup for identity proofing exceptions are yet.

ANALYSIS REQUIRED 1. Quantify overpayment if identity proofing exceptions are is wrong. 2. Separate a case-level error from a program-design failure in a child-care subsidy program with related-provider clusters. 3. Match household facts in issuance file-control totals that will not balance to the rule that pays the benefit. 4. For this Public Benefits Compliance and Integrity Operations file, read issuance file-control totals that will not balance against an identity-proofing vendor outage that opened a manual path and write the one fact that would move identity proofing exceptions are for issuance-system integrity manager.

RECOMMENDATION Choose Pay or continue / Recoup / Deny / Hold on this Public Benefits / Compliance and Integrity Operations packet (issuance file-control totals that will not balance after an identity-proofing vendor outage that opened a manual path). The follow-on Compliance and Integrity Operations action is what issuance-system integrity manager does next: implement the option, assign an owner, and log the missing fact.