(1)
An intentional program violation (IPV) is an act in which someone
intentionally:
(a) Misrepresents, conceals, or
withholds facts in order to be found eligible for benefits or to receive more
benefits than their actual circumstances would allow including making a false
statement regarding household circumstances;
(b) Acts in violation of the Food Nutrition
Act of 2008, regulations for the supplemental nutrition assistance program
(SNAP) under Title 7 of the Code of Federal Regulations, any state statute, or
WAC relating to the use, presentation, transfer, acquisition, receipt,
trafficking, or possession of food assistance benefits including; or
(c) Attempts to buy, sell, steal, or trade
food assistance benefits issued and accessed via electronic benefit transfer
(EBT) cards, EBT card numbers or personal identification numbers (PINs), for
cash or anything other than eligible food, alone or acting with
others.
(2) If we suspect
someone has committed an IPV we refer their case for an administrative
disqualification hearing (ADH), unless:
(a)
The case is currently referred for prosecution; or
(b) A court or prosecutor already took action
against the person for the same or related facts.
(3) An administrative disqualification
hearing (ADH) is a formal hearing to determine if a person committed an IPV.
ADHs are governed by the rules found in chapter
388-02 WAC. However, rules in
this section are the overriding authority if there is a conflict.
(4) A person suspected of an IPV may choose
to waive their right to an ADH by signing a waiver of administrative
disqualification hearing or a disqualification consent agreement that waives
their right to the hearing and accept the IPV penalty under WAC
388-446-0020.
(5) If someone commits one or more IPVs and
is suspected of committing another, we refer them for an ADH when the act of
suspected violation occurred:
(a) After we
mailed the disqualification notice to the client for the most recent IPV;
or
(b) After criminal proceedings
for the most recent IPV are concluded.
(6) When we refer a case for an
administrative disqualification hearing (ADH), the office of administrative
hearings (OAH) sends the person notice of the ADH at least 30 days in advance
of the hearing date. OAH sends the notice by certified mail, or personal
service. The notice will contain the following information:
(a) The date, time, and place of the
hearing;
(b) The charges against
the person;
(c) A summary of the
evidence, and how and where they may examine the evidence;
(d) A warning that a decision will be based
entirely on the evidence the department provides if they fail to appear at the
hearing;
(e) A statement that the
person has 10 days from the date of the scheduled hearing to show good cause
for failing to attend the hearing and to ask for a new hearing date;
(f) A warning that a determination of IPV
will result in a disqualification period; and
(g) A statement that if we schedule a
telephone hearing, they may request an in-person hearing by filing a request
with the administrative law judge one week or more prior to the date of the
hearing.
(h) If there is an
individual or organization available that provides free legal representation,
the notice shall advise the affected individual of the availability of the
service.
(7) The
department may combine an ADH and a regular hearing when the reason for both
hearings is related.
(8) The person
or a representative has the right to one continuance of up to 30 days if a
request is filed 10 days or more prior to the hearing date.
(9) The administrative law judge (ALJ) will
conduct the ADH and render a decision even if the person or representative
fails to appear, unless within 10 days from the date of the scheduled hearing:
(a) The person can show good cause for
failing to appear; and
(b) The
person or representative requests the hearing be reinstated.
(10) We may change a scheduled
telephone hearing to an in-person hearing if the person or department
representative requests this at least one week in advance. The person
requesting a change less than one week in advance must show good cause for the
requested change.
(11) The ALJ
issues a final decision as specified in WAC
388-02-0215 through
388-02-0525. The decision
determines whether the department had established with clear and convincing
evidence that the person committed and intended to commit an IPV.
(12) The department and the client each have
the right to request a reconsideration of the decision as specified in WAC
388-02-0610 through
388-02-0635. The final order or
the reconsideration decision is the final agency decision.
(13) We will not implement a disqualification
and continue benefits at the current amount if:
(a) The client can show good cause for not
attending the hearing within 30 days from the date the disqualification notice
was mailed; and
(b) An
administrative law judge determines the client had good cause; or
(c) The client requests reconsideration or
files a petition for judicial review to appeal the disqualification as
specified in WAC
388-02-0530(1) or
(4).