111              PROGRAM LOSSES AND CLAIMS COLLECTION

A program loss occurs when a household receives more Alaska Temporary Assistance, Adult Public Assistance, or Food Stamp benefits than it is entitled to receive.  The caseworker determines a claim for the program loss.  Refer to the Alaska Temporary Assistance, APA Adult Public Assistance, and Food Stamp program policy manuals for instructions on how to determine a program loss and appropriate repayment methods.

After determining the amount of the claim, the caseworker will complete a Report of Claim Determination e-Form (GEN 95 Report of Claim Determination), print it, and submit it to the Claims Specialist, Benefit Recovery Unit /Program Integrity and Analysis Section in Juneau.  The Claims Specialist then establishes the overpayment claim in EIS Eligibility Information System 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 Client Fraud Complaint Report (GEN 40 Client Fraud Complaint Report) and submit it to the Fraud Control Unit.  Do not complete a Report of Claim Determination if a fraud report is made.  Refer to Chapter 112 for fraud referral procedures.