Assess whether a policy change would reduce error without harming access

Situation

The Compliance and Integrity Operations desk packet is TANF work-hours that cannot be corroborated after a hearing officer reversing 40% of trafficking cases. Disability continuing-eligibility reviewer in a disability unit facing a backlog of CDRs must name Pay or continue or Recoup for this Public Benefits file. Disability continuing-eligibility reviewer in a disability unit facing a backlog of CDRs has to name Pay or continue or Recoup for this Public Benefits Compliance and Integrity Operations file.

Decision

Disability continuing-eligibility reviewer in a disability unit facing a backlog of CDRs must choose Pay or continue / Recoup / Deny / Hold using TANF work-hours that cannot be corroborated after a hearing officer reversing 40% of trafficking cases.

Hypotheses to test

• The population in TANF work-hours that cannot be corroborated is the one a hearing officer reversing 40% of trafficking cases named, so Pay or continue follows for this Compliance and Integrity Operations file.
• The population in TANF work-hours that cannot be corroborated is adjacent only to a hearing officer reversing 40% of trafficking cases; Recoup is the honest Public Benefits call.
• A disability unit facing a backlog of CDRs already contained a hearing officer reversing 40% of trafficking cases before TANF work-hours that cannot be corroborated arrived; no new Compliance and Integrity Operations path.
• Provenance on TANF work-hours that cannot be corroborated after a hearing officer reversing 40% of trafficking cases is broken; do not pick Pay or continue or Recoup yet.

Analysis required

• Match household facts in TANF work-hours that cannot be corroborated to the rule that pays the benefit.
• Trace the notice and appeal path disability continuing-eligibility reviewer must preserve.
• Test eligibility, recoupment, and improper-payment facts in TANF work-hours that cannot be corroborated after a hearing officer reversing 40% of trafficking cases.
• For this Public Benefits Compliance and Integrity Operations file, read TANF work-hours that cannot be corroborated against a hearing officer reversing 40% of trafficking cases and write the one fact that would move a policy change would for disability continuing-eligibility reviewer.

Recommendation