IEVS Applicant and Recipient Reports

The Income Verification System (IEVS) matches the applicant and recipient names and social security numbers against federal and state data files. This section provides guidance on the Applicant IEVS System, the  Recipient IEVS System, and the workflow guidance for the IEVS Specialized unit.

 

Federal law requires that all applicant and recipient information is verified by a third party. Currently, Applicant IEVS compares the information from:

  • State welfare information files
  • Californian Development Department (EDD) wages, Unemployment Insurance Benefits (UIB) files, Disability Insurance Benefits (DIB) files, EDD New Hire Registry (NHR) files, and online Real-Time UIB/DIB verification
  • California State Franchise Tax Board (FTB) asset, interest and dividend files
  • CalWORKs and CalFresh disqualification and overpayment/overissuance files
  • Social Security Administration Title II, Title XVI SSI/SSP benefit files, Medicare benefit files, social security number validation files, Forty-Quarter work history files, and the Nationwide Prisoner Match (NPM) files
  • Systematic Alien Verification for Entitlements (SAVE)
  • Homeless Indicator
  • Wages.

The IEVS System returns the information online as part of the MEDS system. Because IEVS is a verification system, it:

  • Confirms/verifies information provided by applicants.
  • Reduces or eliminates the need to refer applicants to EDD or SSA to verify receipt or non-receipt of benefits.
  • Reduces or eliminates the need to refer applicants to SSA for proof of social security numbers.
  • Helps identify missing or erroneous applicant information.

Applicants and Recipients

All applicants and recipients must have an IEVS match to verify eligibility. These include:

  • Individuals requesting assistance
  • Individuals being added to existing cases or new social security numbers entered
  • Individuals whose income and resources are considered in determining benefits, such as stepparents or excluded parents.

Information Found in the IEVS Applicant  Report

  • Eligibility Data which contains
    • MEDS/CDB Data, Disqualification & Outstanding O/P data
  • EDD Data which contains
    • UI Data
    • DI Data
    • Employer/Wage Data
  • FTB Data which contains:
    • Asset Information
  • SSA Data which contains:
    • SSA Title II Data (Social Security)
    • SSA Title XVI Data (SSI/SSP)
    • Medicare Data
    • Forty (40) Quarters Data

Information Found in the IEVS Recipient Report

The Recipient System consists of eleven sub-systems:

  • New Hire Registry (NHR)
  • Payment Verification System (PVS) Match
  • Jail Reporting System (JRS) Match
  • California Youth Authority (CYA) Match
  • Nationwide Prisoner Match (NPM)
  • Deceased Person Match (DPM)
  • Integrated Fraud Detection (IFD)/Earning Clearance System (ECS) Match
  • Asset Match - Franchise Tax Board (FTB)
  • Asset Match - Internal Revenue Service (IRS)
  • Beneficiary Earnings Exchange Record (BEER)
  • Fleeing Felon Match (FFM)
  • Asset Verification Program (AVP)

Disqualified or Excluded Persons

Individuals whose income and resources are included in the eligibility determination must also be included in the IEVS match process even though they may not receive benefits themselves. This includes the following individuals:

  • Excluded parents
  • Excluded children
  • Ineligible undocumented non-citizens
  • Individual disqualified for:
    • Intentional Program Violations
    • Failure to comply with work requirements
    • Failure to provide verification of social security numbers
  • Senior parents
  • Stepparents
  • Sponsors of non-citizens and the sponsor’s spouse if that individual also signed the Affidavit of Support.

Procedures for Generating IEVS Abstracts

The client's name and SSN are processed in CalSAWS automatically when:

  • Applications (including Add a Program) are authorized or
  • A person with a social security number is added to an active case.


Within three to five calendar days, the information is available in CalSAWS.

When an SSN is entered and/or changed for a person in an active case, the Eligibility Worker (EW) must request the abstract through the IEVS Applicant List page in CalSAWS to generate an IEVS report.

The EW can also use the “Request for MEDS Terminal Operator Action” (SCD 1296) form to request IEVS information online. This can only be done for applicants, not for recipients.


Once the IEVS report is received, the EW must take the following actions:

STEP

ACTION

1.

Review the match for the following identifying case information:

  • Name
  • SSN
  • DOB
  • Appropriateness of the information about the known circumstances of the applicant.

2.

Determine if the identifying case information listed above matches the client.

IF THERE IS...

THEN...

A match,

  • Use the reported information to determine the level of benefits.
  • If “Disqualification Information” appears for CalFresh, follow the Intentional Program Violation (IPV) process for the required action.

  • Adjust CalFresh overissuances and CalWORKs/CAPI overpayments that occurred in other California counties.

No match,

  • Document in the case journal that there is no match and no required case actions are needed. 

Example Example The IEVS abstract report shows UIB for a young child. Since this information is not reasonable, check to see if an adult member was using the child's SSN. If the information does not apply to any case member, then the abstract is invalid. 

If a family member in the case used the child's SSN,  refer the case to DA Investigations.

Note: If part of the information in an abstract report is erroneous while other information is correct, take the appropriate actions on the case and document actions that were not taken on the erroneous information in the case journal. 

A discrepancy,

When a difference between client-provided information and IEVS match results impacts current or prior eligibility, try to resolve any discrepancy at the interview.

If the EW is unable to resolve a discrepancy relevant to determining eligibility for the upcoming certification period during the interview, a “Request for Verification” (CW 2200) form must be sent.

Example Example The wage match shows prior work history for a CalWORKs applicant. He states on the application that he has no work history. The discrepancy must be resolved. 

3.

Record and/or identify any discrepancies in the case journal. 

Reviewing the Summary Abstract

The CalSAWS abstract report will display a summary for each case and a summary for each individual who has provided an SSN. Upon receipt of an abstract, the worker is required to take the following actions:

STEP

ACTION

1.

Review the summary abstract to ensure that correct data (SSN, etc.) was submitted to DHS.

2.

Resubmit an IEVS inquiry if the name, SSN, DOB, or gender is incorrect for any applicant. This should be done by correcting the CalSAWS entry and/or going online via MEDS.

3.

If the applicant information is correct, review the match result columns to see which, if any, inquiries resulted in a match. 

4.

  • Make sure all information is correct.
  • Verify the SSN validation code.

5.

  • Record and/or identify any discrepancies in the case journal.  

Processing the Abstracts

Once the IEVS report is received, the EW must take the following actions:

STEP

ACTION

1.

Review the match for the following identifying case information:

  • Name
  • SSN
  • DOB
  • Appropriateness of the information in relation to the known circumstances of the applicant.

2.

Determine if the identifying case information listed above matches the client.

IF THERE IS...

THEN...

A match,

  • Use the reported information to determine the level of benefits.
  • If “Disqualification Information” appears for CalFresh, follow the Intentional Program Violation (IPV) process for the required action.

  • Adjust CalFresh overissuances and CalWORKs/CAPI overpayments that occurred in other California counties.

No match,

  • Follow the process for CalSAWS online reports.
  • When applicable, throw the abstract in the burn bag if the abstract is completely invalid or otherwise inappropriate to the case.

Example Example The IEVS abstract report shows UIB for a young child. Since this information is not reasonable, check to see if an adult member was using the child's SSN. If the information does not apply to any case member, then the abstract is invalid. 

If a family member in the case used the child's SSN, do not destroy the abstract and refer the case to DA Investigations.

Note: If part of the information in an abstract report is erroneous while other information is correct, black out the invalid information and scan the modified abstract into the IDM system.

A discrepancy,

When a difference between client-provided information and IEVS match results impacts current or prior eligibility, try to resolve any discrepancy at the interview.

If the EW is unable to resolve a discrepancy relevant to determining eligibility for the upcoming certification period during the interview, a “Request for Verification” (CW 2200) form must be sent.

Example Example The wage match shows prior work history for a CalWORKs applicant. He states on the application that he has no work history. The discrepancy must be resolved. 

3.

Record and/or identify discrepancies in CalSAWS IEVS Applicant Detail page from the Eligibility/Customer Information/Final Financial IEVS List.

EW Responsibility in Resolving Discrepancies

When an IEVS Report indicates a discrepancy, the EW must:

STEP

ACTION

1.

Contact the client immediately.

2.

Inform the client of the IEVS information which is significantly different from the current or prior information.

3.

Request verification/clarification following standard procedures for requesting additional information, allowing at least ten days for the applicant to provide the information, except for Asset Match Cases.

4.

Grant an extension of time, if the client requests, in order to allow the client to obtain the needed information.

5.

Assist the applicant in attempting to obtain the information.

6.

Keep the case pending/open as long as the applicant is cooperating.

Client Responsibility

When a discrepancy occurs (past or present), clients must cooperate to the best of their ability by:

  • Providing information as requested, and
  • Signing releases of information when requested.

Denial/Discontinuance

In order to deny or discontinue a case, the following steps must be taken:

IF THE...

THEN...

Applicant/Recipient does not respond to a request for clarification,

The EW must make one additional attempt to contact the applicant/recipient and obtain the necessary information.

Applicant still does not respond,

  • Deny the application for failure to cooperate.
  • Record and/or identify any discrepancies in the Create IEVS Applicant Review Document response window from the Search IEVS Applicant Reports window.

Recipient still does not respond,

Discontinue with a proper 10 day Notice of Action citing the reason and regulation.

Note: EWs must follow SB87 procedures and time-frames before discontinuing Medi-Cal benefits.

IEVS Applicant Reports at Recertification and Redetermination

CalSAWS requests IEVS Applicant data automatically at least 15 days prior to the beginning of the CalWORKs and CalFresh Redetermination/Recertification review month.

An AP18 transaction is sent to MEDS through the nightly batch process for:

  • Each eligible member of the household or assisted unit and,
  •  Each individual's income and resources are considered for eligibility determination.

Processing Applicant IEVS Reports

Applicant IEVS data must be completed at the initial application and each subsequent RE. EWs must use the Applicant IEVS data to resolve any potential discrepancies with what was reported on the application and/or in the interview. These discrepancies must be resolved before the new certification period begins. If the EW is unable to resolve a discrepancy relevant to the redetermination of eligibility for the upcoming certification period during the interview, a “Request for Verification” (CW 2200) form must be sent.

Delayed IEVS Applicant reports are a periodic issue. The EW must not delay the determination of eligibility while waiting to receive IEVS information if the necessary information to establish eligibility, benefits, or share of cost has been supplied.

IEVS does NOT supersede program rules in determining eligibility.

If the IEVS information is not available when eligibility is determined, it must be reviewed when received. If the IEVS information impacts the amount of benefits or share of cost, the appropriate case action must be taken.

The IEVS abstract/report review is not considered complete until it has been disposed of in CalSAWS and the result is documented in the case journal.

If the IEVS Applicant report is received... Then...
Prior to case transfer... The intake EW is responsible for processing the IEVS applicant report before transferring the case from their caseload.
After the case transfer... The assigned continuing EW reviews the IEVS applicant report.
If the report was received... Then...
Prior to case transfer Initiate a case rejection.
After the case transfer Processes the IEVS applicant report.

Important: If the case is unassigned, the unprocessed IEVS applicant report should be reviewed and processed at the next SAR 7 or RRR, whichever is sooner.

 

The following chart shows the frequency of the reports, who is responsible for processing the report, and the discrepancy tolerance level in each aid program:

Subsystem Issuance Responsibility Tolerance Level
CW CF MC
NEW HIRE REGISTRY (NHR410) Monthly EW *N/A *N/A *N/A
PVS MATCH UIB, DIB, RSDI (PVS040) Monthly EW *N/A *N/A $400 case total UIB/DIB *N/A on RSDI
JAIL REPORTING SYSTEM (JRS) MATCH Monthly Investigator, EW and EE from IEVS unit *N/A *N/A *N/A
CALIFORNIA YOUTH AUTHORITY (CYA) Monthly Investigator, EW and EE from IEVS unit *N/A *N/A *N/A
NATIONWIDE PRISONER MATCH (NPM) Semi-annually in April and October Investigator, EW and EE from IEVS unit *N/A *N/A *N/A
DECEASED PERSON MATCH (DPM) Semi-annually in April and October Investigator, EW and EE from IEVS unit *N/A *N/A *N/A
IFD/ECS MATCH (ECS 155) Quarterly in March, June, September, and December EE from IEVS unit $1000 $1000 $100 (active cases)
$250 (inactive cases)
ASSET MATCH (FTB) Annually in February EE from IEVS unit $50 $100 $100 (active cases)
$250 (inactive cases)
ASSET MATCH (IRS) Annually EE from IEVS unit $50 $100 $100 (active cases)
$1000 (inactive cases)
BEER Annually EE from IEVS unit $4,800 $11,200 $12,000
FLEEING FELON MATCH (FFM) Monthly Investigator, EW and EE from IEVS unit *N/A *N/A Not Matched
Asset Verification Program (AVP) Monthly EW *N/A *N/A The AVP Report is not a verification. EWs must request verification of the asset to confirm the dollar value.
* No tolerance level — all matches will be sent to the county.

Note: Reports will not be forwarded to the county when the dollar amount is less than the tolerance level, except for ECS 155s.

Processing Time Frame

County staff must take the following actions within 45 calendar days of the date of receipt or run date:

  • Review the report and determine whether it may affect eligibility or benefit amounts.
  • Document the determination in the case journal.
  • Send a request for verification to the client if a potential discrepancy exists.

Exception: The initial 45-day processing rule does not apply to the CYA, DPM, FFM, and NPM matches.

Date of Discovery

Potential discrepancies are considered discovered or identified on the run date or the date of receipt of the IEVS report, whichever is later. The date of discovery depends on how the county receives each of the ten reports, either in paper or electronically.

The run date for electronically received reports is when CalSAWS received the data.

IEVS Report Processing Completed

For open cases, all ten recipient IEVS reports are considered completed when an overpayment or overissuance has been established by the quarter after the quarter in which the discrepancy was discovered or identified or when it is determined that no discrepancy exists based on the recipient’s reporting requirements.

The final outcome of the IEVS review (e.g., whether OI/OP was established or no discrepancy existed) must be documented in the case journal.

Exception: FTI must be excluded from the case journal.


IEVS reports received on closed cases are not subject to processing time frames, but must still be processed as soon as administratively possible.

A pending investigation by the Special Investigation Unit (SIU) cannot delay processing an IEVS report. The EW or EE must determine if an OP/OI has occurred and establish the claim as an Inadvertent Household Error until an IPV is determined. Action to begin collection must be initiated, whether the investigation has concluded and findings have been reported to staff.

The IEVS abstract/report review is not considered complete until the response document is completed. 

EW Responsibility Processing Recipient IEVS Reports

The EW MUST take the following steps:

  • Review CalSAWS IEVS Report data to ensure it coincides with case information on file. Take appropriate action in a timely manner according to the affected programs’ regulations. This may include contacting the client, and/or requesting verification, and disposing of the CalSAWS abstract 
  • Document in the case journal. 

 

For instructions on the disposition of IEVS abstracts in CalSAWS, refer to How to Disposition IEVS Abstracts

Social Security Forty Quarters Data

This information will only be returned to the abstract when an alien number is indicated on the IEVS match for the individual. The 40-quarter data identifies by calendar year each quarter that an individual earned the minimum dollar earnings to qualify for Social Security-related benefits. The information can be used in determining parents' work history for CalWORKs/Section 1931(b) linkage, Title II, Medicare eligibility, or qualifying quarters for CalFresh eligibility.

 

The abstract will display the following information on the case summary page:

SECTION

DESCRIPTION

SSN

The Social Security Number for which the 40 quarters of information is received.

MESSAGE

Several messages could print.

  • See 40 Quarters detail report (this will display on the individual abstract sheets)
  • SSN/Name/DOB did not match SSA’s files so no match was made (Check the information on CalSAWS and resubmit)
  • SSN/Name/DOB does not match SSA’s files but no earnings on file for this client
  • SSN/Name/DOB does not match SSA’s files and there are earnings on file for this client

The following information will appear on the detail page of the abstract:

SECTION

DESCRIPTION

HEADING

40 quarters data reported by SSA as of MM/DD/YY. It will identify the date that SSA made the 40 quarters earnings match.

SSN

The Social Security Number for which the 40 quarters of information is received.

QUALIFYING QUARTERS FOR THIS INDIVIDUAL

The total number of quarters for the SSN

QUALIFYING QUARTERS AFTER 1996

The number of quarters for the displayed SSN after 1996.

REMINDER: Beginning in 1/97, a qualifying quarter can NOT be credited toward the 40-quarter requirement if a benefit from a federal means-tested program was received in that quarter., 

QUARTERS

Each year with earnings will be listed and under each quarter an “*” will display if there were sufficient earnings in that quarter to qualify under Social Security criteria for benefits.

Outstanding Overpayment and Overissuance Information Found on Applicant IEVS Report 

The information in this section of the abstract identifies individuals with outstanding CalWORKs Overpayments and/or CalFresh Overissuances in other counties. The information is 1 to 12 months old. Adjust any Overpayments/Overissuances that occurred in another California county after contacting that county’s collections department to obtain the current overpayment/overissuance balance. The following information is included on the abstract:

SECTION DESCRIPTION
SSN The Social Security Number identified with an outstanding OP/OI in the identified county.
CLIENT NAME The last and first names of the individuals are based on the SSN listed. All persons identified as having an OP/OI will be listed separately.
COUNTY The 2 digit county code for the county reporting the OP/OI. A county will be listed for each person.