CLAIMS HANDBOOK - Department of Human Services
CLAIMS HANDBOOK - Department of Human Services
CLAIMS HANDBOOK - Department of Human Services
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BENEFIT RECOVERY (<strong>CLAIMS</strong>) <strong>HANDBOOK</strong><br />
Statute <strong>of</strong> Limitations:<br />
• IPV claims are established no more than 6 years prior to the date <strong>of</strong> referral to OPIC.<br />
• AE and IHE claims are completed for no more than 12 months prior to the date originally<br />
established in SUCCESS or 12 months prior to the date returned by OPIC via<br />
disposition letter.<br />
• Underpayments are restored for the month the error is discovered and the 12 months<br />
prior, only.<br />
COMPROMISE – WRITE OFF<br />
A customer may request that their non fraud claim balance be reduced or in extreme cases<br />
eliminated if the balance cannot be reasonably be paid within 3 years <strong>of</strong> the original<br />
establishment date, and need or hardship is demonstrated. The portion <strong>of</strong> the debt that is<br />
written <strong>of</strong>f will remain available for payment via underpayment <strong>of</strong>fset after the agreed to<br />
balance is paid in full but the claim will show $0 balance in SUCCESS and the written <strong>of</strong>f<br />
portion will never be considered delinquent. A monthly payment must be negotiated, and all<br />
agreed to payments must be received in a timely manner until the agreed to balance is paid<br />
in full or the compromise agreement will be voided. A Compromise Repayment Agreement<br />
must be signed. If grant reduction payments are originally negotiated and the case later<br />
closes, payments must continue manually until the claim balance is $0.<br />
If the customer is currently receiving benefits, demonstration <strong>of</strong> need is met, and the claim<br />
may be reduced to an amount that can be paid in full within 3 years <strong>of</strong> the establishment<br />
date using the customer’s monthly recoupment amount as the negotiated monthly<br />
repayment amount.<br />
Hardship is determined on a case by case basis by examining the customer’s income and<br />
expenses as well as other household circumstances that may hinder payment.<br />
A claim compromise is determined using the Compromise Worksheet which captures the<br />
case status, income and expenses. Clients are to receive written notification <strong>of</strong> the<br />
compromise request decision (approvals / denials).<br />
To compromise a balance in SUCCESS:<br />
On RMEN H – select claim (Y). Enter the compromise amt (total amount that the customer<br />
is expected to pay including any payments already posted) and compromise reason O.<br />
Document NARR. Include reason for compromise, negotiated monthly payment, and # <strong>of</strong><br />
months to be paid.<br />
Track payments monthly and remove compromise in SUCCESS if monthly payments are<br />
missed and the claim becomes delinquent.<br />
Rev December ‘10 15