Assess whether a provider's attendance is fabricated (b654ac)

Situation

Compliance and Integrity Operations work in a child-care subsidy program with related-provider clusters now turns on a provider's attendance is because a recoupment that would make a household homeless put identity-proofing exception queue in play. Issuance-system integrity manager should say what identity-proofing exception queue proves.

Decision

Issuance-system integrity manager in a child-care subsidy program with related-provider clusters must choose Pay or continue / Recoup / Deny / Hold using identity-proofing exception queue after a recoupment that would make a household homeless.

Hypotheses to test

• Identity-proofing exception queue reads as Pay or continue once a recoupment that would make a household homeless is lined up to the same Public Benefits population.
• Identity-proofing exception queue is closer to Recoup after a recoupment that would make a household homeless; Pay or continue would over-claim this Compliance and Integrity Operations extract.
• Deny is still live in identity-proofing exception queue for issuance-system integrity manager in a child-care subsidy program with related-provider clusters.
• Identity-proofing exception queue is missing the fact issuance-system integrity manager needs after a recoupment that would make a household homeless; stop this Public Benefits close.

Analysis required

• Quantify overpayment if a provider's attendance is is wrong.
• Separate a case-level error from a program-design failure in a child-care subsidy program with related-provider clusters.
• Match household facts in identity-proofing exception queue to the rule that pays the benefit.
• For this Public Benefits Compliance and Integrity Operations file, read identity-proofing exception queue against a recoupment that would make a household homeless and write the one fact that would move a provider's attendance is for issuance-system integrity manager.

Recommendation

Choose Pay or continue / Recoup / Deny / Hold on this Public Benefits / Compliance and Integrity Operations packet (identity-proofing exception queue after a recoupment that would make a household homeless). Lead with the Public Benefits option identity-proofing exception queue 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 child-care subsidy program with related-provider clusters.