IM-103 08/12/99 Voluntary Repayment - Forms Manual Revision #31
FORMS MANUAL REVISION #31: IM-114 FORM, VOLUNTARY REPAYMENT AUTHORIZATION FORM
|With the implementation of the Electronic
Benefit Transfer (EBT) system, system limitations prevented participants
from returning benefits loaded in their account to repay overissuances.
A new process is developed to correct this system problem. This new
process is voluntary repayment and is transacted through the Administrative
Effective immediately, participants are able to use available Temporary Assistance(cash) and food stamp benefits in the EBT account to repay benefits to the state. County offices have designated staff to have access to this transaction.
Cash benefits can only be used to pay cash claims. Food stamp benefits can only be used to pay food stamp claims. The system does not allow one program to repay the other. If a participant receives more benefits than entitled to and wants to repay the benefit, a claim will have to be written. Ask the participant to sign the Voluntary Repayment Authorization form, IM-114.
When a participant notifies the county office that s/he wants to use available cash and/or food stamp benefits to repay a claim, take the following action.
If too many benefits are repaid, a negative balance is created. A negative balance on a claim is posted on OVPT, and the overpaid amount is reissued to the household. The negative balance for food stamps is reissued by a FISU request code Z in State Office. The negative balance for cash is reissued by State Office in the form of a check.NFD Non-Clearing Food Stamp Debit
If a voluntary repayment transaction is
completed and there is no claim on file, the transaction will not post.
Program and Policy staff will contact county staff to determine why no
claim is established. Once the claim is established, the payment
If the designated person for your county is not available for several days to complete the voluntary repayment transaction, fax the IM-114 to the Program and Policy Unit in Central Office. The fax number for food stamp transactions is (573)522-4333, and the fax number for cash transactions is (573)526-4837.
If a participant wants to repay food stamp benefits that are aged off the account, do not reissue the benefits in order to complete a voluntary repayment transaction. Refer to Memorandum IM-#6 dated 01/28/99 for instructions regarding use of aged food stamp benefits to repay a claim.
The IM-114 form is printed, and an initial supply should have been received by your county offices. Additional supply can be requested using normal supply request procedures.