Establishing Claims 430-05-80-20

(Revised 06/01/04 ML2921)

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For administrative errors, the worker must establish a claim for any overissuance for a maximum of 12 months from the month the worker becomes aware of the overissuance.

 

For inadvertent household errors, the worker must establish a claim for any overissuance back to the date the act occurred using 10-10-10, not to exceed more than six years.

 

All claims must be established before the last day of the quarter following the quarter in which the overpayment or trafficking incident was discovered. The date of discovery is defined as the date the worker first suspects a household:

  1. received more benefits than it was entitled to; or

  2. may have misused their benefits.

Exception:

Corrective action as a result of a Quality Control review must be completed within 30 days of receiving the Quality Control finding.

 

The date and the source of discovery must be recorded on the OVCA screen.  The source of discovery codes are:

 

AG - Agency

 

IV - IEVS

 

QC - Quality Control

 

OS - Other Source