Assess whether a policy change would reduce error without harming access

Situation

After a recoupment that would make a household homeless, TANF work-hours that cannot be corroborated is what issuance-system integrity manager can touch in a Medicaid agency with a surge in MAGI mismatches. Public Benefits will live with Pay or continue versus Recoup on this Recoupment and Policy file.

Decision

Issuance-system integrity manager in a Medicaid agency with a surge in MAGI mismatches must choose Pay or continue / Recoup / Deny / Hold using TANF work-hours that cannot be corroborated after a recoupment that would make a household homeless.

Hypotheses to test

• The population in TANF work-hours that cannot be corroborated is the one a recoupment that would make a household homeless named, so Pay or continue follows for this Recoupment and Policy file.
• The population in TANF work-hours that cannot be corroborated is adjacent only to a recoupment that would make a household homeless; Recoup is the honest Public Benefits call.
• A Medicaid agency with a surge in MAGI mismatches already contained a recoupment that would make a household homeless before TANF work-hours that cannot be corroborated arrived; no new Recoupment and Policy path.
• Provenance on TANF work-hours that cannot be corroborated after a recoupment that would make a household homeless is broken; do not pick Pay or continue or Recoup yet.

Analysis required

• Test eligibility, recoupment, and improper-payment facts in TANF work-hours that cannot be corroborated after a recoupment that would make a household homeless.
• Quantify overpayment if a policy change would is wrong.
• Separate a case-level error from a program-design failure in a Medicaid agency with a surge in MAGI mismatches.
• For this Public Benefits Recoupment and Policy file, read TANF work-hours that cannot be corroborated against a recoupment that would make a household homeless and write the one fact that would move a policy change would for issuance-system integrity manager.

Recommendation

Choose Pay or continue / Recoup / Deny / Hold on this Public Benefits / Recoupment and Policy packet (TANF work-hours that cannot be corroborated after a recoupment that would make a household homeless). Lead with the Public Benefits option TANF work-hours that cannot be corroborated can support after a recoupment that would make a household homeless, then the two facts that force it, then the Monday action for issuance-system integrity manager in a Medicaid agency with a surge in MAGI mismatches.