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Business Processes

Published Date: April 02, 2013
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Eligibility Determination and Benefits Calculation

Change in Circumstances

E08. CIC - Post-Verification Review

When Human Services receives information that is inconsistent with the information provided by the learner, a post-verification review can be initiated by the Program Compliance Officer. A tax audit is triggered when there is a discrepancy in the amounts reported to the Canada Revenue Agency (CRA). A non-tax audit can be the result of a random/targeted selection or by information provided by an internal or external third party. Post-verification reviews can occur while the learner is attending training or after the training is completed.

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.