Determination of Overpayment Type
Once the EW makes the determination whether the overpayment is caused by client or administrative error, the following action must be taken:
| If the overpayment is... | Then... |
| Administrative, or Client |
The EW MUST:
|
| Suspected fraud, or client error overpayment of $50 or more, |
The EW MUST complete all the steps above, AND
|
Overpayment Examples
For additional examples refer to Examples of Overpayment Claim Processes.
Administrative Error Overpayment
Example:
The client is receiving $150 grant for personal needs. The client notifies on the income report, that he/she is now receiving income from a pension of $50 per month. The EW overlooks this information and benefits continue to be issued unchanged. When the EW realizes, he/she enters the correct information in CalSAWS and an Administrative Error Overpayment of $50 occurs. Future grant benefits are determined as follows:.
$150.00 Grant
- $50.00 Pension
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$100.00 Correct Grant
- $5.00 Recoupment (5% of grant)
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$95.00 Adjusted grant amount
Client Error Overpayment
Example:
The recipient is currently receiving a GA grant in the amount of $257 per month. The recipient fails to report earned income of $100.00 per month. The EW discovers through IEVS reports that the client began working. The EW contacts the client and confirms new earnings from the employer of $100.00 per month. The EW enters new information in CalSAWS. A Client Error overpayment of $100.00 occurs. Future grant benefits are determined as follows:
$257.00 Previous Grant
- $100.00 Earned Income
-------------
$ 157.00 Correct Grant
– 15.70 Recoupment (10% of current grant)
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$141.30 Adjusted grant amount
Late Status Report
A client error overpayment must be established when the recipient submits a late income status report (after the 11th of the report’s submit month) which results in incorrect benefit issuance because the county’s inability to decrease benefits due to the 10-day notice requirement.
Note: If the income status report was received timely (by the 11th of the Submit Month) but it was not processed or was processed late, or incorrectly by the county, and an overpayment claim is generated as a result, this will be considered an administrative error overpayment.
Related Topics
Examples of Overpayment Claims Processes