Assess whether a provider's attendance is fabricated (190928)

Situation

Disability continuing-eligibility reviewer owns a provider's attendance is inside a child-care subsidy program with related-provider clusters with retailer trafficking red-flag report as the only packet. A recoupment that would make a household homeless is what changed the clock for this Public Benefits Recoupment and Policy file.

Decision

Disability continuing-eligibility reviewer in a child-care subsidy program with related-provider clusters must choose Pay or continue / Recoup / Deny / Hold using retailer trafficking red-flag report after a recoupment that would make a household homeless.

Hypotheses to test

• Retailer trafficking red-flag report reads as Pay or continue once a recoupment that would make a household homeless is lined up to the same Public Benefits population.
• Retailer trafficking red-flag report is closer to Recoup after a recoupment that would make a household homeless; Pay or continue would over-claim this Recoupment and Policy extract.
• Deny is still live in retailer trafficking red-flag report for disability continuing-eligibility reviewer in a child-care subsidy program with related-provider clusters.
• Retailer trafficking red-flag report is missing the fact disability continuing-eligibility reviewer needs after a recoupment that would make a household homeless; stop this Public Benefits close.

Analysis required

• Match household facts in retailer trafficking red-flag report 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 retailer trafficking red-flag report after a recoupment that would make a household homeless.
• For this Public Benefits Recoupment and Policy file, read retailer trafficking red-flag report against a recoupment that would make a household homeless and write the one fact that would move a provider's attendance is for disability continuing-eligibility reviewer.

Recommendation

Choose Pay or continue / Recoup / Deny / Hold on this Public Benefits / Recoupment and Policy packet (retailer trafficking red-flag report after a recoupment that would make a household homeless). Lead with the Public Benefits option retailer trafficking red-flag report can support after a recoupment that would make a household homeless, then the two facts that force it, then the Monday action for disability continuing-eligibility reviewer in a child-care subsidy program with related-provider clusters.