Assess whether to recoup, waive, or refer for prosecution (2d2b01)

SITUATION Medicaid household composition vs. wage records arrived with an identity-proofing vendor outage that opened a manual path for child-care provider integrity lead. That is a Public Benefits Recoupment and Policy decision on to recoup, waive, or refer in a disability unit facing a backlog of CDRs.

DECISION Child-care provider integrity lead in a disability unit facing a backlog of CDRs must choose To recoup, waive, / Refer for prosecution using Medicaid household composition vs. wage records after an identity-proofing vendor outage that opened a manual path.

HYPOTHESES TO TEST 1. The population in Medicaid household composition vs. wage records is the one an identity-proofing vendor outage that opened a manual path named, so To recoup, waive, follows for this Recoupment and Policy file. 2. The population in Medicaid household composition vs. wage records is adjacent only to an identity-proofing vendor outage that opened a manual path; Refer for prosecution is the honest Public Benefits call. 3. A disability unit facing a backlog of CDRs already contained an identity-proofing vendor outage that opened a manual path before Medicaid household composition vs. wage records arrived; no new Recoupment and Policy path. 4. Provenance on Medicaid household composition vs. wage records after an identity-proofing vendor outage that opened a manual path is broken; do not pick To recoup, waive, or Refer for prosecution yet.

ANALYSIS REQUIRED 1. Match household facts in Medicaid household composition vs. wage records to the rule that pays the benefit. 2. Trace the notice and appeal path child-care provider integrity lead must preserve. 3. Test eligibility, recoupment, and improper-payment facts in Medicaid household composition vs. wage records after an identity-proofing vendor outage that opened a manual path. 4. For this Public Benefits Recoupment and Policy file, read Medicaid household composition vs. wage records against an identity-proofing vendor outage that opened a manual path and write the one fact that would move to recoup, waive, or refer for child-care provider integrity lead.

RECOMMENDATION Choose To recoup, waive, / Refer for prosecution on this Public Benefits / Recoupment and Policy packet (Medicaid household composition vs. wage records after an identity-proofing vendor outage that opened a manual path). Lead with the Public Benefits option Medicaid household composition vs — specific to Medicaid household composition vs. wage records after an identity-proofing vendor outage that opened a manual path on this Public Benefits Recoupment and Policy file for child-care provider integrity lead in a disability unit facing a backlog of CDRs. wage records can support after an identity-proofing vendor outage that opened a manual path, then the two facts that force it, then the Monday action for child-care provider integrity lead in a disability unit facing a backlog of CDRs.