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Business Processes |
Published Date: April 02, 2013
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Eligibility Determination and Benefits Calculation |
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Change in Circumstances |
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E08. CIC - Post-Verification Review
Description
Processes differ depending on whether the review is a tax audit or a non-tax audit and whether the learner has an open Service Plan. The following describes the post-audit review for both a tax and a non-tax audit for a learner with an open Service Plan. This process also includes Workflow 1 – Post Verification.
Details
Pre-condition(s)
Learner’s Income Support Application has been approved. Service Plan is open.
Trigger
Program Compliance Officer decides to initiate a review.
Employment and Financial Supports Division – Learner Income Support Office (LISO), Program Compliance Officer
E08.01
Creates review event.
E08.02
Generates Post Verification Request for Information learner and sets BF.
E08.03
If information is received within 60 days enters and applies evidence.
E08.01.01(a)
Reassesses Learner Income Support and Training Benefit Product Delivery Case (to obtain dollar amount to populate in Post Verification Decision correspondence).
E08.01.01(b)
Sends Post-Verification Decision correspondence.
Mobius
Refer to Workflow 1 – Learner Overpayments
E08.01.01(c)
Auto reassesses overnight.
Mobius (Workflow 1 – Post-Verification)
E08.01.02
Auto generates task to LISO Post-Verification work queue 55 days after date of Post-Verification Request for Information correspondence.
E08.01.02(a)
Resends task if not cleared in 7 calendar days.
Employment and Financial Supports Division – LISO, Program Compliance Officer
E08.02
Reserves and completes/closes task.
E08.03
Checks Mobius to see if requested information has been received and actioned.
E08.03.01
If no response to Post Verification Request for Information (RFI), and if tax audit, creates/applies Canada Revenue Agency (CRA) evidence.
E08.03.01(a)
Completes review event.
E08.03.01(b)
Reassesses Learner Income Support and Training Benefit Product Delivery Case (PDC) (to obtain dollar amount to populate in Post Verification Decision correspondence).
E08.03.01(c)
Sends Post-Verification Decision correspondence.
Mobius
Refer to Workflow 1 – Learner Overpayments
Employment Services Delivery – LISO, Program Compliance Officer
E08.03.02
If no response to Post Verification RFI, and if non-tax audit, sends Post-Verification Decision correspondence.
E08.03.03
Suspends PDC and enters notes on Integrated Case.
Business rules/criteria/standards
COR 13 Post-Verification Decision (Word Template)
Note
A review event is created (prior to reassessing the PDC as it triggers the addition of the appropriate post-verification paragraphs in the Funding Decision.
If Service Plan is closed, a liability case cannot be attached, correspondence cannot be issued, and evidence cannot be modified.
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