Current through all regulations passed and filed through September 16, 2024
(A)
Section 1137 of the Social Security Act (2/2014)
mandates that state agencies administering federally funded public assistance
programs develop and implement an income and eligibility verification system
(IEVS). In Ohio, IEVS contains income and benefit information from the
following sources:
(1) The Ohio department of
job and family services (ODJFS), office of unemployment compensation, bureau of
program services; and
(2) The
social security administration (SSA).
(B)
How is IEVS integrated into the Ohio benefits integrated
eligibility system?
(1) All IEVS
functions of ODJFS are provided through the Ohio benefits integrated eligibility system.
(2) The regular matching of social security
numbers of assistance group members is reflected through the IEVS system,
that
consists of the following three components:
(a) Data exchange;
(b) Compliance tracking; and
(c) Reporting.
(C) What are the
specific sources of IEVS matches?
Under IEVS, social security numbers of applicants and AG members are
regularly matched with data from the following source agencies:
(1) ODJFS - wage records.
(a) The ODJFS, office of unemployment
compensation acts as the state's wage information collection agency (SWICA). In
accordance with section
4141.20 of the Revised Code, all
employers are required to report quarterly earnings of all employees by the
last day of the month following the end of each calendar quarter. All Ohio
works first (OWF) and supplemental nutrition assistance program (SNAP)
applicants and AG members are matched against the SWICA files on a quarterly
basis. Matches are displayed to the county agency as soon as they are
received.
(b) The county agency
shall treat information received from SWICA as a lead to possible employment.
Verification of employment and earnings shall be obtained from the employer or
AG member in accordance with rule
5101:1-2-20 of the
Administrative Code.
(2)
ODJFS -unemployment compensation records.
(a)
ODJFS compares all OWF and SNAP applicants and AG members against the
unemployment files on a weekly basis.
Matches are displayed in the Ohio benefits integrated
eligibility system to the county agency as soon as they are
received.
(b) Information received
from the unemployment files should be considered verified unless the client
statement and/or case record fails to support the accuracy of the information.
(3)
Retirement, survivors,
and disability insurance (RSDI) and supplemental security income (SSI)
benefits
(a) SSA provides information on RSDI
and SSI benefits of individual public assistance participants. The ODJFS state
verification and exchange system (SVES) provides an electronic interface with
the SSA. The interface allows the transfer of RSDI and SSI benefit and
entitlement information from the SSA.
(b) Beneficiary and SSI benefit and
entitlement information is considered verified. Dual entitlement information
should be verified when, or if, the AG record does not support the accuracy of
the information.
(D) What are the time
frames for processing an IEVS match?
(1)
Federal regulations require the county agency to process IEVS matches in
forty-five days.
(2) A county
agency may only exceed the forty-five day time period on up to twenty per cent
of its reviews, provided that the reason for the delay is due to nonreceipt of
verifications, and provided that the review is completed by the next case
action. The county agency is to take action to review
and process the information immediately upon receipt. During the
forty-five
day period, the county agency
is to:
(a)
Review and compare the match information to the
information in the assistance group (AG) record;
(b)
Contact the
AG;
(c)
Obtain verification when applicable to determine
eligibility; and
(d)
Initiate appropriate corrective action and case
adjustments.
(3)
Once the county agency completes the IEVS match process, the results will be
recorded in the Ohio benefits integrated eligibility
system history.
(4) When the
county agency determines that an IEVS match displayed is for an AG whose case
record is now active in another county and/or is delinquent, the county agency
is to
refer to the Ohio benefits integrated eligibility
system transfer procedure.
(E) What are the IEVS
priority levels?
Counties are assigned alerts for IEVS matches in the
Ohio benefits integrated eligibility system with one
of two priority levels: high or low. These alerts are to be
completed within the time frame specified for each priority level.
(1) High prioritymatches are
considered error prone. These matches are to be
reviewed and completed by the county agencies within fory-five days.
(2)
Low priority matches are issued to county agencies for
informational purposes only. These matches are available for a minimum of
one-hundred eighty days. The county agency will not be required to follow-up or
report the results of these reviews. Low priority alerts will be systematically
inactivated every one-hundred eighty to two hundred days.
(F)
What are the requirements for safeguarding and disclosing IEVS match
information?
(1) In accordance with federal
law and regulations and the
IRS publication 1075,
https://www.irs.gov/pub/irs-pdf/p1075.pdf,
match information that contains federal tax data is to be
protected from disclosure to unauthorized persons. Federal tax information
(FTI) remains tax information even after it has been verified. The determining
factor is the source of the information.
(a)
If the source is the social security administration or some other federal
agency authorized to release FTI, this information is tax
information.
(b) If the source is
the individual involved, an authorized representative of the individual or
entity, or a third party (from their records), the information is not
considered tax information.
(2) If the individual, or payer institution,
verifies by writing the information on a separate document, the information is
not tax information. Therefore, it is possible to have two documents with the
same information and, depending on the source of the information, one document
is to be safeguarded while the other
is
not.
(3) Computer screen printouts
or copies of letters mailed or received regarding FTI
are to
be safeguarded and are subject to the prescribed record retention schedule and
safeguarding procedures as outlined in rules
5101:9-9-21 and
5101:9-9-25 of the
Administrative Code.
(4) SSA
federal tax information can be commingled within the AG case record, but the AG
case record is
to then be safeguarded in its entirety, clearly labeled to indicate that
SSA FTI is included.
(5) FTI
is to be
logged and tracked so that the location of the FTI is known at all
times.
(6) The IEVS match
information may be disclosed only under the following circumstances:
(a) Any IEVS match information may be given
to the AG member who is the subject of the information;
(b) An assistance group member may be given
social security administration (SSA) information about other members in the
same assistance group if the information is needed in connection with
determining eligibility for benefits. A JFS 07341 "Applicant/Recipient
Authorization for Release of Information" form is to be signed
by the individual for whom the information is requested. When there is a
request to review the AG case file, a member of the AG or its currently
authorized representative may have access to the information provided by the
release. However, the county agency may withhold confidential information, such
as the names of individuals who have disclosed information about the AG without
the AG's knowledge, or the nature or status of pending criminal
prosecutions.
(G) How is the
information obtained from IEVS matches recorded and disclosed?
(1) ODJFS and the county agency
are to
keep a record of any disclosure of IEVS information, including IEVS match
information, to any person or agency who is not an employee of ODJFS or the
county agency. The record of the disclosure is to be
retained for five years or the active life of the application, whichever is
longer.
(2) The ODJFS and county
agency are
to note in the AG record any disclosure to any person (other than the AG
member), agency, or official who is not an employee of a county agency or
ODJFS. The county agency is to record all such disclosures in its central file
of IEVS information disclosures. The record of disclosure
is to
contain a description of the information disclosed, the date of the disclosure,
the identity of the persons or agencies to whom the information was disclosed,
and the purpose of the disclosure.
(3) The county agency
is to
refer to rule
5101:9-9-21 of the
Administrative Code for closed IEVS documentation procedure.
(H) What actions are
required by the county agency upon reciept of an IEVS match?
(1) Upon receipt of an IEVS match assigned
with a high priority, the county agency is to:
(a) Refer to the income and eligibility verification system (IEVS)
alert processing instruction guide.
(b) Regard the match information (unless SSA
beneficiary and SSI entitlement or unemployment compensation) as a lead
indicating the possible receipt of income to an AG member, not as
verification.
(c) Determine if the
IEVS information is consistent with the information already provided by the AG.
When the AG case record does not have information that resolves the IEVS match,
the county agency may contact the AG.
(2) When a county agency contacts an AG for
verification of income, the county agency is to give the
AG ten calendar days to submit verification. The request for verification
is to
also state that if the AG fails to provide the information and/or contact the
county agency, assistance may be terminated. At the end of the time period, if
there has been no contact by the AG or if there has been a refusal to provide
verification, prior notice is to be sent proposing termination because the county
agency is unable to determine continued eligibility. Since the information from
the IEVS match does not coincide with the information from the AG case record,
the county agency is to verify the match information. It is the
responsibility of the AG to provide the information necessary to determine
eligibility and to clarify any incomplete, inconsistent, or contradictory
information received.
(3) If the AG
agrees to cooperate in providing the requested information but is unable to
provide the information, the county agency is to obtain a
JFS 07341 to forward to the third party who may have the information, such as
an employer.
(4) Any adverse action
resulting from information produced by a matching program
is to be
processed in accordance with Chapter 5101:6 of the Administrative
Code.
(5) When the review of the
IEVS match results in a determination that the benefit amounts issued were
incorrect and should be increased or decreased accordingly, the county agency
is to
initiate at least one of the following:
(a)
Ineligibility-terminate benefits or deny application;
(b) Overpayment-recover the overpayment;
or
(c) Underpayment-issue the
underpayment.
(6) When
the review of the IEVS match results in the discovery of previously unknown
employment, the county agency is to secure appropriate third-party resource forms in
accordance with rule
5101:1-2-20 of the
Administrative Code.
(I) How are IEVS
matches investigated by the county benefit recovery unit?
The county agency is to investigate the IEVS match using the following
guidelines:
(1) The county agency
will not
deny, delay, or discontinue benefits while waiting for information when other
evidence establishes the AG's eligibility;
(2) The primary task of the IEVS match review
is to check previous and current eligibility. The review also attempts to find
and recover all overpayments whether they are AG error or agency
error;
(3) The eligibility
determiner's purpose in the IEVS match is to discover the facts of the AG's
situation during the match period and to decide whether the AG received the
correct amount of benefits.
(J) How are the county
agencies monitored for compliance with IEVS?
ODJFS monitors the county agency IEVS activities by reviewing selected
cases for timeliness, accuracy of the processing of alerts, and the
safeguarding of IEVS information. Reviews are scheduled in each county agency a
minimum of every three years.