482-2        OVERPAYMENTS

 

The Division will pursue the collection of APAAdult Public Assistance overpayments received by both current and former recipients.

 

482-2 A.   DEFINITION OF AN APAAdult Public Assistance OVERPAYMENT

 

For APAAdult Public Assistance purposes, a ”overpayment” means the amount of APAAdult Public Assistance benefits to which a recipient was not entitled.  It includes the amount of assistance paid to a recipient pending a fair hearing decision, if the hearing authority renders a decision requiring that the assistance be repaid.

 

An APAAdult Public Assistance overpayment does not include the amount of Interim Assistance paid to an individual whose application for SSISupplemental Security Income is denied solely because the individual is determined not disabled or blind, or because the individual’s income exceeds SSISupplemental Security Income income standards.

 

482-2 B.   TREATMENT OF AN APAAdult Public Assistance OVERPAYMENT

 

The requirement to repay an APAAdult Public Assistance overpayment depends on whether the overpayment is agency-caused or client-caused.  Repayment is requested but not required for an agency-caused overpayment.  Repayment is required for a client-caused overpayment.

 

1. Agency-caused overpayment

 

An overpayment is agency-caused when the overpayment occurs solely as the result of an administrative error or oversight by the Division.  Agency-caused overpayments include situations where the agency:

 

 

 

 

2. Client-caused overpayment

 

An overpayment is client-caused when the overpayment is the result of an action or inaction by the recipient, or by an individual acting on the recipient’s behalf.  Client-caused overpayments include situations where the client:

 

 

 

 

482-2 C.   ESTABLISHING A CLAIM

 

When a case worker discovers that an APAAdult Public Assistance overpayment has occurred, he or she will determine the amount of the overpayment, complete a Report of Claim Determination ( Gen 95 ) form and APA Claims Budget Worksheet (APA 5) and send both the Gen 95 form and APA 5APA Claims Budget Worksheet and any other supporting documentation to the Claims Unit.  The Claims Unit will establish the overpayment claim on EISEligibility Information System and pursue collection of the claim against the current or former recipient.  See Chapter 111 of the Administration Procedures manual for more information about program losses and claims collection.

 

482-2 D.   NOTICE REQUIREMENT

 

After being advised of the overpayment, the Claims Unit is responsible for sending the current or former recipient a written request for repayment.  The overpayment notice must:

 

 

 

 

482-2 E.   REPAYMENT OPTIONS

 

1. Current Recipients

 

A current recipient may choose to repay an overpayment in a single payment or in monthly installments.  If the recipient chooses to repay the overpayment by monthly installment, the division will withhold from the recipient’s monthly  benefit an amount equal to 10 percent of the recipient’s monthly payment, or $10, whichever amount is higher.  If the recipient’s assistance payment before withholding is less than $10, the entire payment will be withheld.

 

A current recipient has 30 days from the date he or she receives a notice requesting repayment of a client-caused overpayment.  If the entire amount of the client-caused overpayment is not repaid within 30 days, the Division will begin collecting the overpayment by reducing the individual’s monthly payment according to the method specified above.

 

2. Former Recipients

 

A former recipient may choose to repay an overpayment by:

 

 

 

 

 

A former recipient may choose any combination of the payment options listed above as long as the total annual repayment amount is at lest equal to the amount that would be collected by monthly installment if only that option were chosen.  A former recipient who chooses to repay an overpayment with his or her Permanent Fund Dividend(s) must execute a new valid assignment of each years Permanent Fund Dividend until the overpayment is recovered in full.

 

3. When a Former Recipient Becomes a Recipient Again.

 

When a former recipient who has not totally repaid a previous client-caused overpayment again qualifies for assistance, the Division must pursue collection of any remaining balance by reducing the recipient’s monthly benefit according to section E.1. above.  Withholding begins the second benefit month of the recipient’s new period of eligibility.

 

482-2 F.   HARDSHIP PROVISION

 

Repayment of a client-caused overpayment may be suspended or adjusted if it will cause extreme economic hardship to the individual.  The Claims Unit is responsible for deciding whether to suspend or reduce collection due to hardship as follows:

 

1. Current Recipients

 

If a current recipient can demonstrate that the loss of assistance will cause extreme economic hardship, repayment may be suspended for up to three months.

 

2. Former Recipients

 

If a former recipient can demonstrate that repayment will result in extreme economic hardship, the Claims Unit may:

 

 

 

482-2 G.   COORDINATION WITH SSISupplemental Security Income

 

If the APAAdult Public Assistance recipient is also an SSISupplemental Security Income recipient and it appears that he or she has received SSISupplemental Security Income benefits to which he or she was not entitled, the case worker shall inform the servicing SSASocial Security Administration office and let the SSISupplemental Security Income claims representative pursue collection of any SSISupplemental Security Income overpayment.  

 

When documenting the amount of an APAAdult Public Assistance overpayment, the case worker may assume that SSISupplemental Security Income will collect any SSISupplemental Security Income overpayment.  The amount of any APAAdult Public Assistance overpayment is the difference between the amount of APAAdult Public Assistance the recipient received and the amount of APAAdult Public Assistance the recipient was actually entitled to.

 

 

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MC #63 (12/21)