Due to the TCC
The “hold harmless” provision applies to overpayments caused by changes to the TCC
under the following circumstances:
-
•
The individual has other income in the month of PFD receipt and/or in the month immediately
following the PFD receipt; and
-
•
The income received in the month immediately following receipt of the PFD is higher
than the income received in the month used as the budget month prior to the posting
of the PFD payment to the record; and
-
•
The change in the budget month due to ineligibility (N01) from receipt of the PFD
payment creates an overpayment; then
The overpayment for up to two months immediately following receipt of the PFD is included
in the amount billed to the State under the “hold harmless” provision.
NOTE: The “hold harmless” provision does not apply if the income in the month immediately
following receipt of the PFD payment causes ineligibility due to excess income.
NOTE: The receipt of the PFD may cause an individual to be underpaid for some months during
the four-month period, due to the TCC. We should only charge the State for the overpayment
balance after netting (SI 02201.015) during the four-month period. If the PFD receipt causes a net underpayment, we will
not bill the State for that case.
Example 1: Jones receives SSI and reports their wages to SSA every month. Jones reports receiving
$600.00 in wages per month in September and October 2017. In November 2017, Jones
received $800.00 in wages. Under the rules of Retrospective Monthly Accounting (RMA),
using a 2 budget month, Jones receives $477.50 in SSI per month in November 2017 and
December 2017 based on their wages for September and October. See the chart below:
|
Pay Status
|
Budget Month
|
Income (Wages)
|
SSI Payment Amount Due
|
Sept-17
|
C01
|
2
|
$600.00
|
$477.50
|
Oct-17
|
C01
|
2
|
$600.00
|
$477.50
|
Nov-17
|
C01
|
2
|
$800.00
|
$477.50
|
Dec-17
|
C01
|
2
|
$600.00
|
$477.50
|
Jan-18
|
C01
|
2
|
$600.00
|
$392.50
|
In February 2018, SSA posts the PFD payment to October 2017, which makes Jones ineligible
due to excess income (N01) for October. Receipt of the PFD causes a transitional computation
cycle (TCC). Jones’ payments for November and December 2017 are recomputed using the
income from November 2017. Because Jones received $800.00 in wages in November 2017,
the system computes an overpayment of $100.00 per month in November 2017 and December
2017. See the chart below:
|
Pay Status
|
Budget Month
|
Income (Wages)
|
SSI Payment Amount Due
|
Sept-17
|
C01
|
2
|
$600.00
|
$477.50
|
Oct-17
|
N01
|
N/A
|
PFD Received
|
$0.00
|
Nov-17
|
C01
|
0
|
$800.00
|
$377.50
|
Dec-17
|
C01
|
1
|
$600.00
|
$377.50
|
Jan-18
|
C01
|
2
|
$600.00
|
$392.50
|
Because the overpayment is caused solely by the change in the computation cycle resulting
from receipt of the PFD payment, the overpayments for November 2017 and December 2017
fall under the “hold harmless” provision and should be included in the amount billed
to the State.
Example 2: O’Brien receives SSI and reports that receiving $600.00 in wages per month in September
and October 2017. In November 2017, O'Brien received $400.00 in wages. Under the rules
of Retrospective Monthly Accounting (RMA), we use a 2 budget month, and O’Brien receives
$477.50 in SSI per month in November 2017 and December 2017 based on the wages received
for September and October. See the chart below:
|
Pay Status
|
Budget Month
|
Income (Wages)
|
SSI Payment Amount Due
|
Sept-17
|
C01
|
2
|
$600.00
|
$477.50
|
Oct-17
|
C01
|
2
|
$600.00
|
$477.50
|
Nov-17
|
C01
|
2
|
$400.00
|
$477.50
|
Dec-17
|
C01
|
2
|
$600.00
|
$477.50
|
Jan-18
|
C01
|
2
|
$600.00
|
$592.50
|
In February 2018, SSA posts the PFD payment to October 2017, which makes O’Brien ineligible
due to excess income (N01) for October. Receipt of the PFD causes a transitional computation
cycle (TCC). O’Brien’s payments for November and December 2017 are recomputed using
the income from November 2017. Because O’Brien received $400.00 in wages in November
2017, the system computes an underpayment of $100.00 per month in November 2017 and
December 2017. See the chart below:
|
Pay Status
|
Budget Month
|
Income (Wages)
|
SSI Payment Amount Due
|
Sept-17
|
C01
|
2
|
$600.00
|
$477.50
|
Oct-17
|
N01
|
N/A
|
PFD Received
|
$0.00
|
Nov-17
|
C01
|
0
|
$400.00
|
$577.50
|
Dec-17
|
C01
|
1
|
$600.00
|
$577.50
|
Jan-18
|
C01
|
2
|
$600.00
|
$592.50
|
Because the overpayment and underpayment are caused solely by the change in the computation
cycle resulting from receipt of the PFD payment, we will net the underpayments for
November and December against the overpayment for October and will bill the State
$277.50.