|
|
Overpayment Forms
Notification of Overpayment Adjustment Activity
Claim records remaining in the Benefit Recovery subsystem are used to notify another county of the balance on an overpayment when adjustment activity on the overpayment has occurred in this county.
The EW must print overpayments/overissuance records from the Display Benefit Discrepancy window in the Benefit Recovery subsystem and send it to the new county with the “Intercounty Overpayment/Overissuance Adjustment Request” (SC 14) and the overpayment NOA when:
- The case is closing and a balance remains on the overpayment.
- The overpayment balance has been recovered in full.
SC 14, "Inter-County Overpayment Adjustment Request"
Usage
The “Inter-County Overpayment/Overissuance Adjustment Request” (SC 14) is used when an CalWORKs AU with an outstanding overpayment balance is being transferred to another county. The EW must attach copies of all documentation which supports the outstanding balance. This includes copies of the NOAs, screen print from the Benefit Recovery subsystem, and any other documentation.
Completion
The SC 14 is completed by the EW making appropriate entries in the spaces provided, based upon the specific situations in the case.
When initiating the ICT, send the SC 14 and any supporting documents including the “Notification of Intercounty Transfer” (CA 215), if applicable. When the receiving county adjusts the overpayment or closes the CalWORKs case, they are asked to notify Collections in our county of any remaining balance on the overpayment.
Fraud Referral to Special Investigative Unit
Fraud referrals are processed through the Client Referral subsystem of CalSAWS only when the EW suspects that fraud is occurring, or has occurred, in a particular case. This is not be to be used for general referrals to Collections or for overpayment computations. [Refer to the Chewable Byte 23-71 for instruction on How to Submit a Special Investigations Referral.]
Refer to Collections When Case Closes
When a CalWORKs program is discontinued with open and/or active overpayment CalSAWS sends the claim to the Collections system, “Ventura Accounting Collection System” (VACS), via a daily interface process. This also applies to Food Stamp overissuance claims.
SC 1002, "Referral to Collections - Whereabouts of Overpaid Payee Are Known"
Usage
The “Referral to Collections - Whereabouts of Overpaid Payee Are Known” (SC 1002) is used to refer an overpaid payee to the Collections Manager when:
- The whereabouts of the overpaid payee are known, and
- Collection activity must be instituted against that individual as recoupment by grant adjustment cannot occur.
Completion
The SC 1002 is completed by the EW making the appropriate entries in the spaces provided, based upon the information in the case record or information provided by the current payee.
"Supportive Services Repayment Agreement" (WTW 12)
Usage
The WTW 12 is used by the CWES worker to inform the overpaid individual of the repayment terms and conditions. It also includes different methods of repayment. The overpaid individual will have to mark their choice of how they would want to repay the overpayment. The CWES worker enters the Repayment Agreement in CalSAWS indicating the method of repayment the client selected, including a Grant Adjustment.
Completion
The CWES worker completes this form by making appropriate entries in the spaces provided, based upon the specific situations in the case. The “Overpayment Notice“ (WTW 11) and the “Overpayment/Underpayment Computation” (SC 1842C) are sent by the CWES worker with the WTW 12 when notifying the individual of the overpayment.
Related Topics