Whether to recoup, waive, or refer for prosecution from identity-proofing

Situation

Disability continuing-eligibility reviewer in a benefits issuance vendor after a file-control break has one working extract — identity-proofing exception queue — after a recoupment that would make a household homeless. If identity-proofing exception queue cannot support to recoup, waive, or refer, the honest Public Benefits output is hold.

Decision

Disability continuing-eligibility reviewer in a benefits issuance vendor after a file-control break must choose To recoup, waive, / Refer for prosecution using identity-proofing exception queue after a recoupment that would make a household homeless.

Hypotheses to test

• The population in identity-proofing exception queue is the one a recoupment that would make a household homeless named, so To recoup, waive, follows for this Trafficking and Eligibility Fraud file.
• The population in identity-proofing exception queue is adjacent only to a recoupment that would make a household homeless; Refer for prosecution is the honest Public Benefits call.
• A benefits issuance vendor after a file-control break already contained a recoupment that would make a household homeless before identity-proofing exception queue arrived; no new Trafficking and Eligibility Fraud path.
• Provenance on identity-proofing exception queue after a recoupment that would make a household homeless is broken; do not pick To recoup, waive, or Refer for prosecution yet.

Analysis required

• Trace the notice and appeal path disability continuing-eligibility reviewer must preserve.
• Test eligibility, recoupment, and improper-payment facts in identity-proofing exception queue after a recoupment that would make a household homeless.
• Quantify overpayment if to recoup, waive, or refer is wrong.
• For this Public Benefits Trafficking and Eligibility Fraud file, read identity-proofing exception queue against a recoupment that would make a household homeless and write the one fact that would move to recoup, waive, or refer for disability continuing-eligibility reviewer.

Recommendation

Choose To recoup, waive, / Refer for prosecution on this Public Benefits / Trafficking and Eligibility Fraud packet (identity-proofing exception queue after a recoupment that would make a household homeless). The follow-on Trafficking and Eligibility Fraud action is what disability continuing-eligibility reviewer does next: implement the option, assign an owner, and log the missing fact.