4-007.01D Criteria for Establishing Intentional Program Violation (IPV) Overpayments

475 NAC 4-007.01D

Potential IPVs must be reported to the Special Investigations Unit (SIU), Central Office. Until a determination of an IPV has been made, the Accounts Receivable is processed as an Inadvertent Household Error.

In situations where a potential IPV may have occurred, overpayments are calculated back to the month the alleged IPV occurred up to six years from the date of discovery. If the alleged IPV was caused by the household's failure to report information timely, the overpayment must be calculated beginning with the month the change would have been effective if it had been reported in a timely manner. The first month of the overpayment cannot be more than two months after the change occurred.

Information on how to process IHE overpayments is located at 475 NAC 4-007.01B 'Criteria for Establishing Inadvertent Household Error (IHE) Overpayments'.

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