111 PROGRAM LOSSES AND CLAIMS COLLECTION
A program loss occurs when a household receives more Alaska Temporary Assistance, Adult Public Assistance, SNAP and Senior Benefits than it is entitled to receive. The caseworker determines the amount for the program loss. Refer to the Alaska Temporary Assistance, Adult Public Assistance, and SNAP policy manuals for instructions on how to determine a program loss and appropriate repayment methods.
After determining the amount of the overpayment, the caseworker will complete a Report of Claim Determination e-Form (GEN 95) for review by a supervisor, case reviewer, or lead worker. The supervisor, case reviewer, or lead worker uploads the GEN 95 form and EIS screenshots into ILINX and submits them to the Benefit Issuance and Recovery Unit in Juneau via email from the Content Store in ILINX. When a caseworker discovers that an APA overpayment has occurred, the GEN 95 form and APA 5 budget worksheet must be completed and sent to the supervisor, case reviewer, or lead worker for review. Prior to submission of the GEN 95, a supervisor, case reviewer, or leader worker must review and sign the form to ensure the accuracy of the claim. The Claims Specialist then establishes the overpayment in EIS and pursues collection of the program loss.
If the caseworker believes that fraud was involved in a program loss, he or she will complete a Fraud Allegation Report form online at https://fcm.i-sight.com/external/dhsscase/new or under Quicklinks at http://dpaweb.hss.state.ak.us/node/15, upload a copy of the fraud report into ILINX using screenshot through Capture and Content Store, and submit the report online to the Fraud Control Unit. Do not complete a Report of Claim Determination (GEN 95) if a fraud report is made. Refer to Chapter 112 for fraud referral procedures.
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