Assess whether a provider's attendance is fabricated from child-care

Situation

Compliance and Integrity Operations work in a state SNAP agency after an EBT skimming wave now turns on a provider's attendance is because a provider billing full-time care during school hours put child-care attendance vs. school-calendar mismatches in play. Housing-subsidy fraud investigator should say what child-care attendance vs. school-calendar mismatches proves.

Decision

Housing-subsidy fraud investigator in a state SNAP agency after an EBT skimming wave must choose Pay or continue / Recoup / Deny / Hold using child-care attendance vs. school-calendar mismatches after a provider billing full-time care during school hours — specific to child-care attendance vs. school-calendar mismatches after a provider billing full-time care during school hours on this Public Benefits Compliance and Integrity Operations file for housing-subsidy fraud investigator in a state SNAP agency after an EBT skimming wave.

Hypotheses to test

• The population in child-care attendance vs. school-calendar mismatches is the one a provider billing full-time care during school hours named, so Pay or continue follows for this Compliance and Integrity Operations file.
• The population in child-care attendance vs. school-calendar mismatches 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 child-care attendance vs. school-calendar mismatches arrived; no new Compliance and Integrity Operations path.
• Provenance on child-care attendance vs. school-calendar mismatches after a provider billing full-time care during school hours is broken; do not pick Pay or continue or Recoup yet.

Analysis required

• Test eligibility, recoupment, and improper-payment facts in child-care attendance vs. school-calendar mismatches after a provider billing full-time care during school hours — specific to child-care attendance vs. school-calendar mismatches after a provider billing full-time care during school hours on this Public Benefits Compliance and Integrity Operations file for housing-subsidy fraud investigator in a state SNAP agency after an EBT skimming wave.
• Quantify overpayment if a provider's attendance is is wrong.
• Separate a case-level error from a program-design failure in a state SNAP agency after an EBT skimming wave.