4-006 Processing Restorations

475 NAC 4-006

Identify that an underissuance has potentially occurred due to one of the reasons listed above. If the household was eligible for benefits but received an incorrect allotment (or no allotment) use the following guidelines:

1. To determine the beginning date of the restoration:
   1. If the household was eligible for benefits and was closed in error, the amount owed the household will be calculated from the first month benefits were not received.
   2. If the household's application or timely reapplication was incorrectly denied, benefits must be restored to the household for the application month or the month following the application month for a timely application.

2. To determine the ending date of the restoration:

   The loss must be calculated for each month until either the first month the error occurred is corrected or the first month the household is found ineligible.

3. When a restoration is being determined, allow the household 10 days to provide needed verification. The household is ineligible for restored benefits if it does not provide the required verification.
4. Recalculate the months of underpayment. Change only the information which caused the underpayment. Do not change any other financial information.

5. When the household or a household member has an Accounts Receivable with a balance owed, the amount of the restoration will be automatically offset.

    

   NOTE: When processing combined under/overpayments on N-FOCUS in order for the offset to occur the worker must:

   1. Process the months of overpayment;
   2. Check the case in and create the Accounts Receivable;
   3. Check the case out and process the months of underpayments;
   4. N-FOCUS will automatically offset the underpayment against the overpayment.
6. An automated notice will be sent to notify the household of its eligibility for additional benefits and of any offsetting that occurred.
7. Document all the actions taken.

{07/14/13}