Assess whether to recoup, waive, or refer for prosecution (7d3c4d)

SITUATION An identity-proofing vendor outage that opened a manual path put retailer trafficking red-flag report in front of disability continuing-eligibility reviewer in a benefits issuance vendor after a file-control break. This Public Benefits / Trafficking and Eligibility Fraud close is to recoup, waive, or refer from retailer trafficking red-flag report, and the live options are To recoup, waive,, Refer for prosecution.

DECISION Disability continuing-eligibility reviewer in a benefits issuance vendor after a file-control break must choose To recoup, waive, / Refer for prosecution using retailer trafficking red-flag report after an identity-proofing vendor outage that opened a manual path.

HYPOTHESES TO TEST 1. Retailer trafficking red-flag report reads as To recoup, waive, once an identity-proofing vendor outage that opened a manual path is lined up to the same Public Benefits population. 2. Retailer trafficking red-flag report is closer to Refer for prosecution after an identity-proofing vendor outage that opened a manual path; To recoup, waive, would over-claim this Trafficking and Eligibility Fraud extract. 3. A dual reading is still live in retailer trafficking red-flag report for disability continuing-eligibility reviewer in a benefits issuance vendor after a file-control break. 4. Retailer trafficking red-flag report is missing the fact disability continuing-eligibility reviewer needs after an identity-proofing vendor outage that opened a manual path; stop this Public Benefits close.

ANALYSIS REQUIRED 1. Quantify overpayment if to recoup, waive, or refer is wrong. 2. Separate a case-level error from a program-design failure in a benefits issuance vendor after a file-control break. 3. Match household facts in retailer trafficking red-flag report to the rule that pays the benefit. 4. For this Public Benefits Trafficking and Eligibility Fraud file, read retailer trafficking red-flag report 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 disability continuing-eligibility reviewer.

RECOMMENDATION Choose To recoup, waive, / Refer for prosecution on this Public Benefits / Trafficking and Eligibility Fraud packet (retailer trafficking red-flag report after an identity-proofing vendor outage that opened a manual path). 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.

COMMAND RETURNS - Bottom-line Public Benefits option on to recoup, waive, or refer, then the evidence in retailer trafficking red-flag report, then the action for disability continuing-eligibility reviewer - Hypothesis scorecard against retailer trafficking red-flag report: supported / rejected / untestable - Owner and next date for disability continuing-eligibility reviewer in a benefits issuance vendor after a file-control break - What changes to recoup, waive, or refer if an identity-proofing vendor outage that opened a manual path is later withdrawn