Appendix A: Instructions for Completion of PA 157

Section A – Summary

Check the first box if the CAO agrees completely with all items of the exception.

Check the second box if the CAO agrees with only parts of the exception. List, opposite the appropriate program, the item numbers with which the CAO agrees.

Section B – Agreements

Check off the programs involved and complete the following information for the items with which the CAO agrees.

1. Corrective Action – Enter the date the CAO agrees with the exception and takes the necessary action.

2. Referred to Claim Settlement – Enter the date and the amount of the referral to OFAIR if the referral was a result of the exception.

3. Case Closed Due to Exception – Enter the amount of the monthly benefits (cash assistance and/or SNAP) the client was receiving at the time of the exception. Enter the effective date the benefits were discontinued when the closing is due entirely to the exception.

4. Monthly Change Due to Exception – Enter next to either increase or decrease under each program the difference between the monthly amount of the benefit when the auditor took the exception and the monthly amount after the correction was made.

5. Administrative Overpayment – Leave blank.

6. Administrative Underpayment – Enter the amount of the underpayment for each program and the effective date of the correction.

7. Closed Due to Other Reasons – Enter the effective date of the closing and the reason for the closing when it was due to reasons other than the exception.

Section C – Disagreements

This section is completed when the CAO does not agree completely with all items of the exception. The CAO will enter a thorough explanation and substantiate the reason for the disagreement, including the following information:

Section D – Results of Clearance Conference

This section is completed by the Executive Director and the auditor when clearing exceptions. As a result of clearing exceptions, one of the following is indicated:

Issued June 13, 2003; reviewed March 16, 2012