Temporary Assistance/Case Management Manual

0310.030.00 Determining the Amount of the Claim

The eligibility specialist responsible for establishing the claim obtains the needed information and computes a budget for each month of the overpayment period using the Worker Initiated Budget Calculation Area (WIBCA) in FAMIS. Refer to the WIBCA user guide for instructions. The correct benefit amount for each month as determined from the WIBCA budget(s) and the amount actually received by the EU is entered in CARS. CARS uses this information to determine the overpayment amount. To determine a claim amount for an EU use the following guidelines.

  • Determine the amount of Temporary Assistance benefits the EU received for the period of the possible overpayment.
    • Review Payment History (PAYHIST/FM5F) screen in FAMIS. Three years’ payment history is stored.
    • If the Payment History (PAYHIST/FM5F) screen does not contain payment history for the entire claim period, obtain this information from the Benefit Payment History Report available under Managed Reporting.
  • Determine the amount of Temporary Assistance benefits the EU was eligible to receive for the period of the possible overpayment. Calculate a budget using the actual income, EU composition, and eligibility factors for each month. Income is not converted.
    • NOTE: In situations where all efforts to obtain actual income have failed and the claim period covers the entire quarter and the income information is consistent on IMES, this source of income verification may be used to calculate the overpayment.
  • For earned income do not apply the earned income disregards to that part of any earned income that the EU failed to report in a timely manner when that is the basis for the claim. Earned income disregards include Standard Work Expense, Child/Incapacitated Parent Care Cost, $30 plus 1/3 Disregard, $30 Disregard and Two-Thirds Disregard.
  • Offset the overpayment with any outstanding underpayment.