DPSS ePolicy

Terms and Descriptions

Administrative Finality 

The concept that determinations of eligibility to receive payments and payment amounts become final and binding on both parties immediately, unless they are timely appealed or later reopened and revised for special reasons.

Be Against Equity and Good Conscience

If an individual changes their position for the worse or relinquishes a valuable right because of reliance upon a notice that payment would be made or because of the incorrect payment itself.

Fraud

Exists when any person knowingly, willfully, and with intent to defraud, makes or causes a false statement to be made, or conceals or misrepresents a fact – either of which is material to eligibility or payment amount. The person need not be the participant or anyone who is either related to or acting on behalf of the participant.

Netting

The computation process used to balance overpayments against underpayments for the period under review.

Payment Adjustment

The person’s grant will be reduced by the repayment amount to recover the overpayment.

Similar Fault

Exists when any person knowingly makes (or causes to be made) an incorrect or incomplete statement or knowingly conceals information that is material to eligibility or payment amount, but intent to defraud is not required. The person does not need to be the participant or anyone who is either related to or acting on behalf of the participant.

Underpayment

Payment of less than the benefit amount allotted to a participant for any period.

Waiver (of Adjustment/Recovery)

Relief from the obligation of the overpaid person and eligible spouse (and the person’s estate after their death) to repay the amount of the overpayment covered by the waiver.

Without Fault

The absence of fault in connection with causing or accepting the overpayment. The overpaid individual is not without fault solely because the county or the state may have been at fault in causing the overpayment.