Improper Payments and Suspected Recipient Fraud 510-05-10-25

(Revised 01/02 ML #2762)

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Any currently discovered overpayment, whether resulting from a recipient error, from assistance granted pending a fair hearing decision subsequently made in favor of the county agency, or from payment that was provided as a result of a medical expense or increased medical need for a given time period, is subject to recovery. No distinction is made between willful and nonwillful withholding of or failure to report information that affects eligibility.

 

The county agency must promptly take all reasonable and practical steps to correct the overpayment. All recipient errors must be referred to the states attorney’s office with copies to the regional representative and the Estate Recovery Unit at the Department. Refer to Service Chapter 449-10 for the proper procedure to follow regarding suspected fraud.