18 Miss. Code. R. 14-31.19 - Computing Amount of Restored Benefits
After correcting the loss for future months and excluding those months that benefits may have been lost prior to the 12-month time limit, MDHS will calculate the amount to be restored as follows:
A. If the household was eligible but received
an incorrect benefit, the loss of benefits will only be calculated for those
months in which the household participated. If the loss occurred due to an
incorrect delay, denial or termination of benefits, the months affected by the
loss will be calculated as follows:
1. If an
eligible household's application was incorrectly denied, the month the loss
initially occurred will be the month of application or for an eligible
household filing a timely reapplication, the month following the expiration of
its certification period.
2. If an
eligible household's application was delayed, the months in which benefits may
be lost will be calculated according to Rule
2.26 MDHS Delays.
3. If a household's benefits were incorrectly
terminated, the month the loss initially occurred will be the first month
benefits were not received as a result of the erroneous action.
4. After computing the date, the loss
initially occurred, the loss will be calculated for each month subsequent to
that date until either the first month the error is corrected or the first
month the household is found ineligible.
B. For each month affected by the loss, MDHS
will determine if the household was actually eligible. In situations where
there is no information in the case record to document that the household was
actually eligible, MDHS will advise the household of what information must be
provided to determine eligibility for those months. For the months in which the
household cannot provide the necessary information to prove its eligibility,
the household will be considered ineligible.
C. For the months the household was eligible,
MDHS will calculate the benefit the household should have received. If the
household received a smaller benefit than it was entitled to receive, the
difference between the actual and correct benefits equals the amount to be
restored.
D. If a claim against a
household is unpaid or held in suspense, the amount to be restored will be
offset against the amount due on the claim before the balance, if any, is
restored to the household. When the household is certified and receives an
initial benefit, the initial benefit will not be reduced to offset claims, even
if the initial benefit is paid retroactively.
Notes
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