1000
ADMINISTRATIVE INFORMATION

2000
GENERAL ELIGIBILITY REQUIREMENTS

3000
EMPLOYMENT FOCUSED ACTIVITIES

4000
ASSISTANCE PLANNING WITH INDIVIDUAL APPLICANTS/ RECIPIENTS

5000
RESOURCES (NOT APPLICABLE TO MEDICAID POVERTY LEVEL, HEALTHWAVE, AND CHILD CARE PROGRAMS)

6000
INCOME

8000
INSTITUTIONAL AND HOME AND COMMUNITY BASED SERVICES LIVING
ARRANGEMENTS

9000
REPORTING CHANGES, TRANSFER OF ASSISTANCE AND REVIEWS

10000
CHILD CARE PROVIDERS

11000
INCORRECT BENEFITS AND FRAUD DETERMINATIONS

12000
ADULT PROTECTIVE SERVICES

13000
LIEAP

11000

INCORRECT BENEFITS AND FRAUD DETERMINATIONS

11100

INCORRECT BENEFITS

11110

Underpayments

11111

Situations Requiring Restoration of Benefits or Supplemental Benefits

11111.1

Medical Assistance Underpayments

11112

Situations Not Requiring Restoration of Benefits

11113

Time Frames and Limits

11114

Computing the Underpayment

11115

Offsetting Against Claims

11116

Issuing Underpayments

11116.1

Lump Sum

11116.2

Monthly Installment Method

11116.3

Changes in Household Composition

11116.4

Issuing Underpayments on a Closed Case

11120

Overpayments and Claims

11121

Criteria For Establishing Types of Claims

11121.1

Agency Error

11121.2

Client Error

11121.3

Fraud Error

11122

Instances Not Requiring a Claim

11123

Time Frames and Limits for Establishing Claims

11124

Computing the Overpayment

11125

Establishing Claims and Repayment Agreements

11126

Collecting Claims

11126.1

Methods of Collecting Payments

11126.2

Special Criteria for Initiating Collection Action on Fraud Claims

11126.3

Claims Discharged through Bankruptcy

11126.4

Interstate Food Stamp Claims Collection

11126.5

Refund of Over Collected Food Stamp Benefits

11126.6

Expunged Benefits

11127

Terminating Claims

11128

Transfers of Claims (Cash and Food Stamps Only)

11128.1

Households Separate After a Claim is Established

11128.2

Transferring Claims

11128.3

Collecting GA Overpayments From TAF Benefits

11129

Comprising Claims

11130

Expunged Benefits

11200

DETERMINATION OF FRAUD

11210

Definition of Fraud

11220

Penalties For Fraud

11221

Disqualification Penalties for TAF, GA, and Food Stamps

11230

Determining the Proper Type of Referral

11231

Fraud Unit Referrals

11232

Administrative Disqualification Hearing Referrals

11240

Making the Referral - Fraud Unit

11250

Making the Referral - Administrative Disqualification Hearing

11250.1

Referral Form

11250.2

Time Limits

11250.3

Waived Hearings

11250.4

Publication of Rules of Procedure

11250.5

Notification to Applicant Households

11250.6

Consolidation of Administrative Disqualification Hearing with Fair Hearing

11250.7

Advance Notice of Administrative Disqualification Hearing

11250.8

Scheduling of Hearing

11250.9

Participation While Awaiting Hearing

11250.10

Criteria for Determining Fraud or Attempted Fraud

11250.11

Decision Format

11250.12

Notification of Hearing Decision

11260

Imposition of Disqualification Penalties

11260.1

Administrative Disqualification Hearing

11260.2

Cases Referred to Local Fraud Unit

11270

Reporting Requirements (Food Stamp Program Only)

11280

Fraud Overpayment Recovery

11290

Reversed Disqualifications