Q. Payment Verification System (PVS)

 

Payment Verification System (PVS)

The PVS is a computer-based match system developed to determine if a recipient has received or may receive UIB, DIB, or Social Security benefits.  Each month, the PVS compares recipient’s Names, Birthdates, and SSNs from MEDS/CDB with computer files at EDD and SSA.  PVS reports are produced from this computer comparison process and are received in district around the 15th of each month.  (See TUG Chapter 1 for specific information.)

 

Use of PVS Information

Benefits reported by PVS are considered verified unless questionable.  The information verified by PVS will be used in the determination of eligibility and benefit levels.  Recipients will be given timely notice of any reductions or terminations due to IEVS-PVS information.  Overpayments will be processed according to instructions outlined in Overpayment Chapter.

 

HSS Action

PVS reports will be compared to information reported by the recipient.  HSSs should review person information in the report to ensure that the information supplied pertains to the recipient.  The HSS will complete the County Use Only section of the PVS report and file the report with the QR7.

 

Significantly Different Information

Any information that is significantly different from recipient supplied information must be clarified.  “Significantly different” means that the difference could impact current or prior eligibility and/or benefit levels.  When information contained on the PVS report is determined to be significantly different, the HSS will take the following actions:

 

·  Make a narrative entry explaining why the information is questionable.

·  Notify the recipient in writing of the questionable information using form 16-20 DSS.

·  Give the recipient 10 days to respond.

 

If the recipient fails to respond or is unable to provide the necessary information, the following actions will be taken:

 

·  The HSS will attempt to verify the information.  The 07-94 may be used to contact SSA.  The HSS should use the EDD UIB/DIB On-Line Real-Time system to verify UIB or DIB.  (See TUG manual for specific information on accessing this system through IEVS.)

·  The recipient’s benefits are to be continued pending verification.

·  If a second PVS report is received, it will be held pending return of the verification.

·  Information received from EDD or SSA will then be used in the eligibility/benefit determination.

 

Recipient Disputes PVS Information

If the recipient claims that the PVS report is inaccurate, the HSS will take the following steps:

 

 

Step

Action

1

Check the person’s information to ensure that the report is for the recipient.

2

Assist the recipient in verifying the benefits, if needed.  The 07-94 may be used to contact SSA.  The HSS should use the EDD UIB/DIB On-Line Real-Time system to verify UIB/DIB.

3

Rescind the action, pending notification from SSA or EDD if the discrepancy cannot be resolved before the date of the adverse action.

4

If the HSS is unable to determine whether the recipient is receiving the benefits, a referral to PAFD would be appropriate.  An example is when someone is using a child’s SSN.

 

Earnings Clearance System (ECS)

The ECS-155 is a computerized, quarterly report used to identify individual CalWORKs cases in which a discrepancy exists between the amount of earned income used in the budget computation, and the amount of earned income reported to the State by the employer.  The ECS-155 also identifies duplicate aid cases and SSI recipients.

 

When the ECS-155s indicate a possible earnings discrepancy on a case located in district, OSU will notify the district of those cases to be pulled for OSU to review in district.  OSU will review closed cases that are in the Record Room.