FAA6.F Administrative : 04 Quality Control (QC) - Overview : C Region QC-100 Responsibilities - Overview : .03 Region QC-100 Responsibilities - QC-100 Case Action
.03 Region QC-100 Responsibilities - QC-100 Case Action
 
(01/01/19 - 12/31/19)
When a QC-100 requires an action, OPE sends the QC-100 Turn Around Document (TAD) to the designated staff. The designated staff must review the case file, the QC-100 including any attachments, and completes one of the following:
 
●Issues supplemental benefits
●Completes an overpayment referral
 
The designated staff must document the case file with the action and return the QC-100 TAD no later than the due date indicated on the TAD.
 
When the action required involves an overpayment, the time frames for completing the overpayment are as follows:
 
●The Potential Overpayment (OP) Referral (FA‑526) form must be completed and sent to the designated overpayment (OP) writer within five workdays(g), as these are priority overpayments.
●The designated OP writer must complete and send the Report of CA/NA Overpayment (FA‑529) form to the Office of Accounts Receivable and Collections (OARC) within ten workdays from the date the FA‑526 was completed.
 
When the action required involves issuance of a supplemental payment, see Authorizing Supplemental Payment.
 
When fraud is indicated, refer the case to the Office of Special Investigations (OSI). (See OSI/AOIG - Potential Fraud Referral Requirements)
 
Give the QC‑100 to the Supervisor to review and approve the necessary actions.