This topic contains information on differing responses from payer and Introduction recipient, including differing response procedures, and an example of handling differing responses. March 30, 2015 Change Date Use the table below to determine what to do when you receive differing a. Differing Response responses from the payer and the recipient, including the spouse of the Procedures beneficiary. For more information on the efforts to clarify disputed amounts, Reference: see M21-1, Part X, Chapter 9, Section C, Topic 12. If Then … … the income recipient verifies more send a notice of proposed adverse income than action based on the recipient verified amount. the match amount, or the amount verified by the payer the income recipient reports send a notice of proposed adverse action based on the report. recipient’s less income than the income payer reports, and the report would result recipient’s in the termination of benefits send a notice of proposed adverse the payer verifies the matched action based on the higher verified amount, and payer amount. the recipient reports some income, but less than the matched amount In the notice of proposed Note: adverse action, give the beneficiary the opportunity to provide evidence to support the claim of lower income. (continued) If Then … …
Introduction This topic contains information on differing responses from payer and recipient, including differing response procedures, and an example of handling differing responses. Change Date March 30, 2015 a. Differing Response Procedures Use the table below to determine what to do when you receive differing responses from the payer and the recipient, including the spouse of the beneficiary. Reference: For more information on the efforts to clarify disputed amounts, see M21-1, Part X, Chapter 9, Section C, Topic 12. If … Then … the income recipient verifies more income than the match amount, or the amount verified by the payer send a notice of proposed adverse action based on the recipient verified amount. the income recipient reports less income than the income payer reports, and the recipient’s report would result in the termination of benefits send a notice of proposed adverse action based on the recipient’s report. the payer verifies the matched amount, and the recipient reports some income, but less than the matched amount send a notice of proposed adverse action based on the higher verified payer amount. Note: In the notice of proposed adverse action, give the beneficiary the opportunity to provide evidence to support the claim of lower income. (continued) If … Then …