Whether identity proofing exceptions are being abused from recoupment aging

Situation

Identity proofing exceptions are sits with SNAP trafficking investigator because a provider billing full-time care during school hours hit a state SNAP agency after an EBT skimming wave. Evidence is recoupment aging versus collectability; write the Public Benefits Trafficking and Eligibility Fraud option that extract can carry.

Decision

SNAP trafficking investigator in a state SNAP agency after an EBT skimming wave must choose Pay or continue / Recoup / Deny / Hold using recoupment aging versus collectability after a provider billing full-time care during school hours.

Hypotheses to test

• The population in recoupment aging versus collectability is the one a provider billing full-time care during school hours named, so Pay or continue follows for this Trafficking and Eligibility Fraud file.
• The population in recoupment aging versus collectability is adjacent only to a provider billing full-time care during school hours; Recoup is the honest Public Benefits call.
• A state SNAP agency after an EBT skimming wave already contained a provider billing full-time care during school hours before recoupment aging versus collectability arrived; no new Trafficking and Eligibility Fraud path.
• Provenance on recoupment aging versus collectability after a provider billing full-time care during school hours is broken; do not pick Pay or continue or Recoup yet.

Analysis required

• Trace the notice and appeal path SNAP trafficking investigator must preserve.
• Test eligibility, recoupment, and improper-payment facts in recoupment aging versus collectability after a provider billing full-time care during school hours.
• Quantify overpayment if identity proofing exceptions are is wrong.
• For this Public Benefits Trafficking and Eligibility Fraud file, read recoupment aging versus collectability against a provider billing full-time care during school hours and write the one fact that would move identity proofing exceptions are for SNAP trafficking investigator.

Recommendation

Choose Pay or continue / Recoup / Deny / Hold on this Public Benefits / Trafficking and Eligibility Fraud packet (recoupment aging versus collectability after a provider billing full-time care during school hours). The follow-on Trafficking and Eligibility Fraud action is what SNAP trafficking investigator does next: implement the option, assign an owner, and log the missing fact.