Common use of Verification Procedures and Opportunity to Contest Clause in Contracts

Verification Procedures and Opportunity to Contest. A. Verification Procedures VA/VHA will take no adverse action regarding individuals identified through the matching process solely based on information that VA/VHA obtains from the match. In accordance with the requirements of the Privacy Act and applicable OMB guidelines, VA/VHA will independently verify and investigate all wage, pension, and self- employment income with the payer of the wages or pension or with the individual recipient, or both. This investigation and confirmation will include the amount of any income involved; whether the individual actually has or had access to such income for his or her own use; and the period or periods when the individual actually had such income. B. Opportunity to Contest Before taking any adverse action based on the verified income information received from the match, VA/VHA will provide all medical care recipients from whom VA/VHA decides such adverse action is necessary with the following information: 1. VA/VHA has received information from SSA indicating that an adverse action affecting the medical care recipient’s payment is necessary. The medical care recipient has an opportunity to explain the circumstances prior to VA/VHA making a final eligibility determination and initiating billing action; 2. The effective date of any adjustment or overpayment that may result; 3. The medical care recipient has 75 days to contest any adverse decision; and 4. Unless the medical care recipient responds to contest the proposed adverse action in the required 75-day time period, VA/VHA will conclude that the information provided by SSA is correct and will make the necessary adjustment to the recipient’s payment.

Verification Procedures and Opportunity to Contest. A. Verification Procedures VA/VHA will take no adverse action regarding individuals identified through the matching process solely based on information that VA/VHA obtains from the match. In accordance with the requirements of the Privacy Act and applicable OMB guidelines, VA/VHA will independently verify and investigate all wage, pension, and self- self-employment income with the payer of the wages or pension or with the individual recipient, or both. This investigation and confirmation will include the amount of any income involved; whether the individual actually has or had access to such income for his or her own use; and the period or periods when the individual actually had such income. B. Opportunity to Contest Before taking any adverse action based on the verified income information received from the match, VA/VHA will provide all medical care recipients from whom VA/VHA decides such adverse action is necessary with the following information: 1. VA/VHA has received information from SSA indicating that an adverse action affecting the medical care recipient’s payment is necessary. The medical care recipient has an opportunity to explain the circumstances prior to VA/VHA making a final eligibility determination and initiating billing action; 2. The effective date of any adjustment or overpayment that may result; 3. The medical care recipient has 75 days to contest any adverse decision; and 4. Unless the medical care recipient responds to contest the proposed adverse action in the required 75-day time period, VA/VHA will conclude that the information provided by SSA is correct and will make the necessary adjustment to the recipient’s payment.

Verification Procedures and Opportunity to Contest. A. Verification Procedures VA/VHA will take no adverse action regarding individuals identified through the matching process solely based on information that VA/VHA obtains from the match. In accordance with the requirements of the Privacy Act and applicable OMB guidelines, VA/VHA will independently verify and investigate all wage, pension, and self- employment income with the payer of the wages or pension or with the individual recipient, or both. This investigation and confirmation will include the amount of any income involved; whether the individual actually has or had access to such income for his or her own use; and the period or periods when the individual actually had such income. B. Opportunity to Contest Before taking any adverse action based on the verified income information received from the match, VA/VHA will provide all medical care recipients from whom VA/VHA decides such adverse action is necessary with the following information: 1. VA/VHA has received information from SSA indicating that an adverse action affecting the medical care recipient’s payment is necessary. The medical care recipient has an opportunity to explain the circumstances prior to VA/VHA making a final eligibility determination and initiating billing action; 2. The effective date of any adjustment or overpayment that may result; 3. The medical care recipient has 75 60 days to contest any adverse decision; and 4. Unless the medical care recipient responds to contest the proposed adverse action in the required 7560-day time period, VA/VHA will conclude that the information provided by SSA is correct correct, and will make the necessary adjustment to the recipient’s payment.

Verification Procedures and Opportunity to Contest. A. Verification Procedures VA/VHA will take no adverse action regarding individuals identified through the matching process solely based on information that VA/VHA obtains from the match. In accordance with the requirements of the Privacy Act and applicable OMB guidelines, VA/VHA will independently verify and investigate all wage, pension, and self- employment income with the payer of the wages or pension or with the individual recipient, or both. This investigation and confirmation will include the amount of any income involved; whether the individual actually has or had access to such income for his or her own use; and the period or periods when the individual actually had such income. B. Opportunity to Contest Before taking any adverse action based on the verified income information received from the match, VA/VHA will provide all medical care recipients from whom VA/VHA decides such adverse action is necessary with the following information: 1. VA/VHA has received information from SSA indicating that an adverse action affecting the medical care recipient’s payment is necessary. The medical care recipient has an opportunity to explain the circumstances prior to VA/VHA making a final eligibility determination and initiating billing action;care 2. The effective date of any adjustment or overpayment that may result; 3. The medical care recipient has 75 60 days to contest any adverse decision; and 4. Unless the medical care recipient responds to contest the proposed adverse action in the required 7560-day time period, VA/VHA will conclude that the information provided by SSA is correct correct, and will make the necessary adjustment to the recipient’s payment.