(A)Section 1137
of the Social Security Act (5/2006)(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)Under the IEVS program, the match data
will be furnished to the county agency. The county agency will have a
forty-five day to one hundred twenty day processing time frame to receive the
match data, to compare the match information to the information in the
assistance group (AG) record, to obtain verification when applicable, to
determine eligibility, and to initiate appropriate corrective action. The
county agency shall take action to review and process the information
immediately upon receipt.
(C)(B) How is IEVS integrated into the statewide automated eligibility systemOhio benefits integrated eligibility system?
(1)All IEVS
functions of ODJFS are provided through the statewide
automated eligibility systemOhio benefits
integrated eligibility system.
(2)The regular
matching of social security numbers of assistance group members is reflected
through the IEVS system, whichthat consists of the following three components:
(a)Data
exchange;
(b)Compliance
tracking; and
(c)Reporting.
(D)(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 ODJFS files on a weekly basis. Matches are displayed in
the statewide automated eligibility systemOhio 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) SSA benefit earnings exchange record
(BEER).
(a) SSA obtains wage records from
employers on an annual basis. Twice a month ODJFS transmits a request through
the SSA's BEER for all new OWF and SNAP applicants and AG members. This data is
included in the master file at that agency. Whenever information is added to
the master file, it is matched against all other data in the file. The SSA
processes the BEER request twice a month and returns matches to ODJFS for
review.
(b) The BEER match includes out of state
and federal employers. The federal wage records match includes employers who do
not report to SWICA. Matches from this source are displayed in the statewide
automated eligibility system to the county agency as soon as they are received
and are to be considered as a lead that the county agency shall verify before
benefits may be affected.
(c) Employment information received from
this source is considered as a lead towards possible current employment. Data
verification shall be obtained before the county agency may initiate any
adjustment to the AG case.
(4)(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.
(E)(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 and one hundred twenty day periods day period,
the county agency shallis
to: review the AG record, contact the AG, obtain
verification when necessary, determine eligibility and make appropriate case
adjustments.
(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 statewide automated eligibility systemOhio 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 shallis to refer to the statewide automated eligibility systemOhio benefits integrated eligibility system transfer
procedure.
(F)(E) What are the IEVS priority levels?
Counties are assigned alerts for IEVS matches in the statewide automated eligibility systemOhio benefits integrated eligibility system with one of
two priority levels: high or low. These alerts shallare to be completed within the time frame specified for
each priority level.
(1)High priority-matches are considered
error prone. These matches are to be reviewed and
completed by the county agencies within fory-five days.
High priority matches shall be reviewed
and completed by county agencies within forty-five days.
(2)Low priority. 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.
(G)(F) What are the requirements for safeguarding and
disclosing IEVS match information?
(1)In accordance
with federal law and regulations and the publications of
IRS publication 1075, https://www.irs.gov/pub/irs-pdf/p1075.pdf, match
information that contains federal tax data shallis 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 shall require
safeguardingis to be safeguarded while the
other shallis not.
(3)Computer
screen printouts or copies of letters mailed or received regarding FTI shallare 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 mustis to
then be safeguarded in its entirety, clearly labeled to indicate that SSA FTI
is included.
(5)FTI mustis 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" (rev. 4/2004) form shallis 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.
(H)(G) How is the information obtained from IEVS
matches recorded and disclosed?
(1)ODJFS and the
county agency shallare 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 shallis to be retained for five years or the active life of
the application, whichever is longer.
(2)The ODJFS and
county agency shallare 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 shallis to
record all such disclosures in its central file of IEVS information
disclosures. The record of disclosure shall 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 shallis to
refer to rule 5101:9-9-21 of the Administrative Code for closed IEVS
documentation procedure.
(I)(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 shallis to:
(a)Refer to the IEVS statewide automated eligibility sytstemincome 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 shallis to give the AG
ten calendar days to submit verification. The request for verification shallis 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 shallis 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 shallis
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 shallis 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 shallis 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 shall 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 shallis to secure appropriate third-party resource forms in
accordance with rule 5101:1-2-20 of the Administrative Code.
(J)(I) How are IEVS matches investigated by the
county benefit recovery unit?
The county agency shallis to investigate the IEVS match using the following
guidelines:
(1)The county
agency shallwill
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.
(K)(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.
Effective: 3/1/2024
Five Year Review (FYR) Dates: 11/15/2023 and 03/01/2029
Certification: CERTIFIED ELECTRONICALLY
Date: 02/01/2024
Promulgated Under: 119.03
Statutory Authority: 5107.05, 5101.02
Rule Amplifies: 5107.05
Prior Effective Dates: 01/01/1983, 12/01/1986, 03/13/1987
(Emer.), 05/04/1987, 09/01/1989 (Emer.), 11/30/1989, 01/01/1990 (Emer.),
04/01/1990, 01/01/1993, 09/01/1994, 11/01/1996, 07/01/1998, 07/01/1999, 07/01/2000,
11/01/2002, 12/06/2007, 03/01/2013, 12/01/2018