111-1          DETERMINING THE AMOUNT OF A PROGRAM LOSS

The caseworker calculates the amount of the overpayment according to program policy.  Rework each error month through the appropriate EIS Eligibility Information System benefit determination screen, print the screen, and then press the ENTER key to exit out of the FSAD Food Stamps Allotment Determination screen.  For APA Adult Public Assistance, the caseworker must calculate the overpayment manually.  The amount of an overpayment is determined by subtracting what should have been issued from what was actually issued for each error month.

Attach copies of the EIS Eligibility Information System payment screen or manual budgets reflecting the overpayment or underpayment determination to the Report of Claim Determination e-Form (GEN 95 Report of Claim Determination), and submit them to the Claims Specialist, Benefit Recovery Unit/Program Integrity and Analysis Section in Juneau.  

Note:

Although unintentional household error claims for Food Stamps are limited to 12 months prior to the date of discovery, unintentional household error and agency error claims for APA Adult Public Assistance and ATAP Adult Temporary Assistance Program cases do not have a limit to how far back a claim can be established. Claims should be established beginning the date the error originally occurred.  The same time frames apply to underpayments.

Note:  

A program loss occurs for benefits issued pending the fair hearing decision when the hearing decision supports the agency’s action.