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When
customers are notified that their welfare
benefits will be discontinued and they ask for an appeals
hearing prior to benefits ending, the county must continue
paying benefits until the appeal is heard. If the client does
not ask for the hearing before benefits cease, the county
does not pay for benefits until after the appeal is heard.
Does C-IV track these two scenarios and determine what to
do with the benefits while the appeal is pending?
C-IV will maintain hearings data under both scenarios. If
the customer requests a hearing before the action is taken
and is entitled to Aid Paid Pending (APP), the responsible
worker can allow the program to remain active and issue APP
through the override function. C-IV will then be able to track
and report on benefits issued with an APP reason. If the customer
waits until after benefits have stopped to request a hearing
and is not entitled to APP, the program will remain closed.
A Hearings record may be created whether the program is active
or closed, and/or APP is issued. After the hearing, the worker
can pay the amount(s) ordered for each affected month, or
correct APP benefits to establish an over/underpayment, according
to the hearing decision.
Do
users handing fraud cases need to be specially identified?
There will be a specific role for fraud users. Fraud records
will be unavailable to other staff.