Current through Register Vol. 46, No. 39, September 25, 2024
(a)
Purpose of desk review.
(1) A
desk review is an accounting of the distribution and disbursement of support
collections made on behalf of a current or former recipient of public
assistance who is or was receiving child support enforcement services
(recipient).
(2) A desk review is
conducted upon receipt of a standard, completed first-level desk review form
from a recipient who believes that the distribution and disbursement of support
collections made pursuant to section
347.13
of this Part was incorrect. It involves an examination of information contained
in child support enforcement accounts and public assistance case records, and
shall result in a written determination to the recipient which includes an
explanation of how the support collection unit and the public assistance unit
within the social services district distributed and disbursed support
collections received on behalf of the recipient for the month(s)
reviewed.
(3) A desk review is
conducted by the support collection unit and public assistance unit. A second-
level review is available from the office, only after completion of a
first-level desk review by the support collection unit and public assistance
unit.
(b)
Period
subject to review.
A desk review shall be limited to an accounting of the
distributions and disbursements of support collections made during the calendar
year in which the desk review is requested and the calendar year preceding the
calendar year in which the desk review is requested.
(c)
Eligible requestors.
A desk review may be requested by a recipient for the
month(s) during which an assignment of support rights was in effect pursuant to
New York State law and regulations.
(d)
First-level desk review request
procedures.
(1) A desk review must be
requested by a recipient submitting to the support collection unit a completed,
standard first-level desk review request form signed by the
recipient.
(2) The recipient must
specify on the first-level desk review request form the reason(s) for
requesting the review, the month(s) for which a review is requested, and the
type of payment in question as a result of the distribution and disbursement of
collections received, which can be one or more of the following:
(i) pass-through payments;
(ii) excess current support payments for
collections made on or before June 30, 2009; and/or
(iii) cumulative excess support
payments.
(e)
Support collection unit review.
(1) The support collection unit shall receive
the completed first-level desk review request form, conduct a review of the
distribution and disbursement of support collections, and forward the results
of the review to the public assistance unit no later than 15 business days from
the date of receipt of a completed first-level desk review request
form.
(2) The support collection
unit must review the first-level desk review request form to ensure that the
recipient has provided the following:
(i) all
necessary information to identify the recipient, the recipient's public
assistance case number(s), and the child support account number(s);
(ii) the recipient's current mailing
address;
(iii) the type of payment
for which the review is requested;
(iv) the month(s) for which the review is
requested;
(v) the factors which
the recipient believes led to recipient's non-receipt of the type of payment
for which the review is requested; and
(vi) the recipient's signature.
(3) The support collection unit
must ascertain the types of information needed to complete the first-level desk
review. If the recipient did not provide the necessary information, the support
collection unit must make reasonable efforts to ascertain the information. All
efforts made by the support collection unit to ascertain the information must
be fully documented.
(4) If the
support collection unit needs to ascertain information and is unable to obtain
the required information, the support collection unit should proceed on the
basis of the available information.
(5) The support collection unit shall conduct
a conference with the recipient, if requested on the desk review form, within
seven business days of receipt of the first-level desk review form.
(6) Based on the information and
documentation pertaining to the distribution and disbursement of support
collections for the month(s) under review, the support collection unit shall:
(i) identify the support collections received
for the month(s) in question;
(ii)
determine the distribution and disbursement of those support collections in
accordance with section
347.13
of this Part; and
(iii) provide the
public assistance unit with a report of the results of subparagraphs (i) and
(ii) of this paragraph on a standard form issued by the office for such
purpose.
(f)
Public assistance unit review.
(1) The public assistance unit shall receive,
as necessary, the report of the distribution and disbursement of support
collections from the support collection unit and shall conduct a review of
public assistance records no later than 45 business days from the support
collection unit's receipt of a properly completed first-level desk review
request form.
(2) Based on the
information and documentation pertaining to the distribution and disbursement
of support collections for the month(s) under review, as forwarded to the
public assistance unit by the support collection unit, the public assistance
unit shall:
(i) ascertain the types of
information needed to complete the first-level desk review. If the recipient
did not provide the necessary information, the public assistance unit must make
reasonable efforts to ascertain the information. All efforts made by the public
assistance unit to ascertain the information must be fully documented, and
should include, but are not limited to, ascertaining public assistance
reimbursement information and amounts of unreimbursed assistance;
(ii) calculate the amount of the pass-through
and excess support payments the recipient was entitled to receive in accordance
with section
352.15 of this
Title;
(iii) compare that result to
the amount(s) actually disbursed to the recipient for the month(s) in question
and determine the results of the desk review on a standard form issued by the
office for such purpose.
(g)
Results of review.
(1) The public assistance unit must issue the
first-level desk review determination to the recipient within 45 business days
of the support collection unit's receipt of a properly completed first-level
desk review request form. The first-level desk review determination must report
the results of the desk review on a standard form issued by the office for such
purpose and indicate one of the following:
(i) no additional payment is due to the
recipient;
(ii) an additional
payment is due to the recipient; or
(iii) the recipient has received an
overpayment.
(2) The
public assistance unit shall mail the first-level desk review determination to
the recipient by first class mail and shall include a copy of any:
(i) worksheet(s) used as part of the review
process; and
(ii) documentation
considered in the first-level desk review.
(3) The first-level desk review determination
will advise the recipient that a second-level review by the office may be
requested if the recipient disputes specific facts contained in the first-level
desk review determination. The first-level desk review determination will
include the form and instructions for the submission of a request for the
second-level review, and a notice of the opportunity for the recipient to
provide additional but previously unavailable documentation to the office for
consideration in the second-level review.
(4) A copy of the first-level desk review
determination shall be provided to the support collection unit by the public
assistance unit, and a copy shall be retained by the public assistance
unit.
(5) The public assistance
unit shall issue a payment to the recipient pursuant to section
352.15 of this
Title within 30 calendar days of the determination or initiate recovery of an
overpayment from the recipient pursuant to section
352.31
of this Title if either such action is found to be appropriate as a result of
the first-level desk review determination.
(h)
Second-level desk review request
procedures.
(1) Recipients may request
a second-level review of the first-level desk review determination within 20
business days of the date of the first-level desk review
determination.
(2) A second-level
review must be requested by a recipient by submitting to the office a
completed, standard second-level request form signed by the recipient
specifying the facts in dispute. The request must include a copy of the
first-level desk review determination and any additional but previously
unavailable documentation.
(3) The
office shall receive the completed second-level request form, review the
accuracy of the first-level desk review determination with respect to the facts
in dispute, and consider any additional but previously unavailable
documentation submitted by the recipient for the month(s) for which the
first-level review was conducted.
(4) The office shall issue a written response
to the recipient within 30 business days of receipt of the recipient's request
for the second-level review, or within 60 business days of receipt of the
recipient's request for a second-level review if the review period is extended
pursuant to paragraph (5) of this subdivision. The written response shall
include a statement:
(i) confirming the
results of the first-level desk review determination that no additional payment
is due to the recipient;
(ii)
amending the results of the first-level desk review determination and finding
that an additional payment is due to the recipient; or
(iii) amending the results of the first-level
desk review determination and finding that the recipient has received an
overpayment.
(5) As a
result of the information or documentation received with the second-level
review form, if the office needs to ascertain information or obtain
documentation from the support collection unit or public assistance unit to
complete the second-level review, the 30-day review period is extended for no
more than 30 additional business days in order to provide sufficient time for
response.
(6) The second-level
determination shall be mailed to the recipient by first class mail and include
a copy of any:
(i) revised and/or additional
worksheets; and
(ii) new
documentation considered in the second-level determination.
(7) The second-level determination
will advise the recipient that a review under article 78 of the Civil Practice
Law and Rules of the office's second-level determination may be filed if the
recipient disputes specific facts contained in that determination. Further, the
recipient will be provided the telephone number of a local not-for-profit legal
services corporation to contact for assistance.
(8) A copy of the second-level determination
shall be sent to the support collection unit and to the public assistance
unit.
(9) The copy sent to the
public assistance unit shall include direction to issue a payment to the
recipient pursuant to section
352.15 of this
Title within 30 calendar days of the determination or to initiate recovery of
an overpayment from the recipient pursuant to section
352.31
of this Title if either such action was found to be appropriate as a result of
the second-level determination.