Arizona Administrative Code › Title 6 - ECONOMIC SECURITY › Chapter 14 - DEPARTMENT OF ECONOMIC SECURITY - NUTRITION ASSISTANCE PROGRAM › Article 3 - CLAIMS AGAINST HOUSEHOLDS › Section R6-14-303 - Determining a Claim Amount

Current through Register Vol. 30, No. 28, July 12, 2024
A. For all claims other than a claim
				resulting from trafficking:
1. The Department
				shall determine whether the overpayment of benefits occurred at the time an
				eligibility determination was rendered for a new or recertification application
				or whether the overpayment occurred during an eligible certification
				period.
2. When it is discovered
				that the Department rendered an incorrect eligibility determination or issued
				an incorrect benefit amount because the Department failed to correctly act on
				information provided on the application or reported by the applicant, or
				because the applicant failed to provide correct information on the application
				or prior to application approval, the Department shall re-determine eligibility
				and a benefit amount for that application and for the months in the
				certification period, using the application approval or denial policies and
				procedures that were in effect at the time the eligibility determination for
				the application was rendered. The Department will not consider information that
				was not previously reported by the household that would have resulted in an
				increase in the benefit allotment at the time of initial approval of benefits.
a. When it is determined that the household
				was ineligible, the Department shall establish a claim based on the amount of
				benefits issued for each month during the certification period that was
				established when the application was originally approved, minus the amount of
				benefits that the Department has expunged from the household's EBT benefit
				account, for each of the corresponding overpaid months.
b. When it is determined that the household
				was eligible, the Department shall establish a claim based on the amount of
				benefits that were paid in excess of the correct benefit amount in each month
				of the certification period, minus the amount of benefits that the Department
				has expunged from the household's EBT benefit account, for each of the
				corresponding overpaid months.
c.
				When it is determined that the household was eligible and received a smaller
				benefit amount than it was eligible to receive because the Department failed to
				correctly act on information provided on the application or reported by the
				applicant prior to application approval, the Department shall issue a
				supplement for each month in the certification period that the household was
				paid less than the correct benefit amount as provided in
				7 CFR
				273.17.
3. When a change occurred during an eligible
				certification period:
a. The Department shall
				process any change that was reported and re-determine a new benefit allotment
				amount for each affected month in the certification period using the change
				processing policies and procedures that were in effect for those months under
				7 CFR
				273.12(c).
i. The Department shall establish a claim
				based on the amount of benefits that were paid in excess of the new benefit
				amount in each affected month of the certification period, minus the amount of
				benefits that the Department has expunged from the household's EBT benefit
				account.
ii. The Department shall
				issue a supplement for each month the household was paid less than the new
				benefit amount.
b. When
				the Department discovers a change which was not reported by the household, the
				Department shall determine whether the change was required to be reported based
				on the change reporting requirement assigned to the household for the
				certification period.
i. When the change was
				not required to be reported the Department shall not process the change for the
				months in the certification period.
ii. When the change was required to be
				reported the Department shall re-determine eligibility and a new benefit
				allotment amount for each affected month in the certification period using the
				change processing policies and procedures that were in effect for those months
				under
				7 CFR
				273.12(c). The Department
				shall establish a claim based on the amount of benefits that were paid in
				excess of the correct benefit amount in each month of the certification period,
				minus the amount of benefits that the Department has expunged from the
				household's EBT benefit account.