CLAIMS HANDBOOK - Department of Human Services

BENEFIT RECOVERY (CLAIMS) HANDBOOK
DMD 6484I – Summary of Claims in Suspended Status
This report lists all claims currently in suspended status by supervisor load# and should be
monitored to verify that claims are correctly in suspended status. Claims should be
annotated each month with the reason for suspension. Claims correctly suspended are:
• Suspected IPV (“S” code) claims pending prosecution.
• TANF hardship exemptions (2 months) approved by the county.
• Claims pending fair hearing results.
• WSP program (TANF) suspension.
• Claims in bankruptcy.
• Claims created during TFS period.
All others should be researched and suspensions lifted, if necessary, by changing status to
active (RP).
DMD 6485I – County Summary of Claims in Error Status
This report lists all claims coded as “E” (in error) for the prior month, by supervisor load ID.
This report is used to monitor a case manager’s use of the “E” code on the case financial
screen and verify appropriate documentation. Overuse may indicate lack of policy
knowledge or other issues in need of the supervisor’s attention.
DMD 6486I – County Summary of Claims in Pending Status
This report lists all claims pending approval by a supervisor (PA), pending initial schedule
(PP) and pending supervisor approval of initial schedule (PS). This report is generated by
supervisor load ID and must be monitored monthly to assure that claims are approved and
scheduled for collection within the 60 day time frame allowed by policy. Type S claims in PS
status are the responsibility of OPIC and are not dispositioned by county staff.
DMJ 5803I – TOP Monthly 60-Day Notice Report in County Sequence
This monthly report lists customers who have been mailed a 60-day notice of intent to
intercept federal benefits (Federal Income Tax refund, Federal Salary or retirement benefits,
RSDI, etc.) via the Treasury Offset Program (TOP). This notice is mailed 180 days after the
claim originally reached delinquency. The report includes the customer’s name, SSN, case
number, claim sequence and new balance of debt. The customer has 60 days to file a
hearing to dispute submission of the debt to TOP. No additional notice of intercept is mailed
to the customer. A copy of the notice is located in SUCCESS Notice History.
Review each report for correct delinquency, liability (including other liable debtors), and
validity. Refer to Pg 28 for additional information.
Rev December ‘10 50