Effective Date - January 1, 2009
2010 Establishing an Overpayment on EPICS
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SEOO |
SETUP OVER OR UNDERPAYMENT MENU |
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1. RESOURCE/INCOME REVIEW |
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2. ROLLOVER (COPY FOR NEW MONTH) |
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3. DELETE MONTH |
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4. OVERPAYMENT/CLAIM CREATION |
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5. OVERPAYMENT/CLAIM MODIFICATION |
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6. UNDERPAYMENT AUTHORIZATION |
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7. MEDICAL CARD CORRECTION AUTH |
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8. NOT AVAILABLE |
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ENTER FUNCTION (BY NUMBER): |
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CASE NUMBER (FOR 1-7): |
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MONTH (FOR 1, 2, 3): |
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BUDGETING METHOD (FOR 1): |
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PROGRAM TYPE (FOR 4-7): |
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RECOUPMENT NUMBER (FOR 5): |
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FISCAL YEAR (FOR 4): |
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NEXT - - > |
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OVCA |
OVERPAYMENT/CLAIMS AUTHORIZATION |
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CASE NAME: |
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CASE NUMBER: |
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PROGRAM TYPE: |
FISCAL YEAR: |
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RECOUPMENT NUMBER: |
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ACTION |
ERROR MONTH |
OP/CLAIM AMOUNT |
ADJ CODE |
ACTION |
ERROR MONTH |
OP/CLAIM AMOUNT |
ADJ CODE |
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TOTAL OVERPAYMENT CLAIM: |
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TOTAL OUTSTANDING: |
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CAUSE: |
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HEAR/COURT: |
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NOTICE DATE: |
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FOUND CODE: |
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TERM IND : |
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PLAN: |
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PERCENT (IF APPLICABLE): |
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AMOUNT (IF APPLICABLE): |
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EFFECTIVE DATE: |
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CLOSURE DATE: |
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STATUS CODE: NCR |
STATUS COMMENT: |
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REFERRAL DATE: |
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AUTHORIZATION: |
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NEXT - - > |
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Follow the instructions in the EPICS User Manual, Section 9, Over and Under Payments. Follow the steps below for the fields in bold as they have been added since conversion.
SEEO - Fiscal Year: Must be entered for POWER overpayments.
The fiscal year begins 10/1 and ends 9/30 of the following year.
The year is the same as the ending year.
OVCA - Fiscal Year: This information is transferred over from the fiscal year entered on SEOO.
Adj Code: Leave this field blank as it can be completed by PRICE only.
Hear/Court: Enter “N”. PRICE will enter the PF, PA, PM or FR code if the case is disqualified or prosecuted.
Term Ind: Leave this field blank as it can be completed by PRICE only.
Status Code: Enter “NCR” - new case referral.
Status Comment: Enter a free-text comment explaining the cause of the overpayment. Make the comment as complete as space allows.
Referral Date: EPICS automatically enters the date the overpayment is authorized.
Realize the Error Cause Table in EPICS has been updated as follows:
Entered by DFS-FO:
DE = Documentary Evidence
CL = Client Error
AG = Agency Error
PA = Prosecuted AFDC/POWER
PF = Prosecuted SNAP
PM = Prosecuted Medical
FR = Fraud by disqualification
AJ = Agency/Judgement
CJ = Client/Judgement
DJ = Documentary Evidence/Judgement
FJ = Fraud Judgement
CA = Cash
CO = Compromised
CW = Cancelled Warrant
DE = Automatic Recoupment from benefits
EB = Automatic or Volunteer payment from SNAP card
OF = Offset an underpayment against an overpayment
OI = IRS intercept payment
VI = Submitted for IRS but paid voluntary to prevent intercept
Offsetting Underpayments:
· The recoupment plan on OVCA must be % for SNAP or MA for POWER;
· The effective date must be equal to or prior to the benefit month of the underpayment;
· The closure date must be blank on OVCA;
· The appropriate amount must be entered on the UNAU screen before authorizing;
· The effective date must be changed on OVCA back to the first of the month following the ten day notice period given by the First Notice of Overpayment;
· The Underpayment Recoupment Notice must be generated for underpayments recovered after the establishment of the overpayment claim;
· A SNAP underpayment is not to be authorized for a benefit month which is more than 12 months prior to the month of discovery
Other References
· Refer to Attachment D for further information on PRICE responsibilities.
· Refer to the EPICS User manual for further information concerning computer procedures.