Duplication of Benefits Procedures & Tools for Reviewing and Preventing.

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Presentation transcript:

Duplication of Benefits Procedures & Tools for Reviewing and Preventing

What is a DOB?  A duplication occurs when a beneficiary receives assistance for a cumulative amount that exceeds the total need for a particular recovery purpose.  The amount of the duplication is the amount of assistance provided in excess of need.  Ex. Mr. Brown’s home was damaged by a tornado.  Estimated cost to repair is 100k.  Mr. Brown receives 150k from insurance, FEMA, and HUD.

Sources of DOB Guidance  The Robert T. Stafford Disaster Relief and Emergency Assistance Act, (42 U.S.C. 5121–5207) (Stafford Act)  Provides the framework for the Federal government’s role in preparing for, and recovering from, a disaster  Seeks to guard against fraud and ineligible uses of taxpayer dollars  Necessary and reasonable requirements (24 CFR Part 570 and OMB Circulars)

Federal Register Notice  Published November 16, 2011  76 Fed. Reg  Applies to any new program included in a new or amended action plan after publication date Link: /pdf/ pdfhttp:// /pdf/ pdf

Structure of Notice  Designed to outline the DOB process: A.Determine need & duplicative benefits B.Calculate award C.Address remaining unmet need (if applicable) D.Use of CDBG funds E.Recapture (if applicable)

A. Determine Need & Duplicative Benefits 1.Assess need………………………. How much will it cost to replace/ repair a home damaged by a hurricane?

A. Determine Need & Duplicative Benefits– recap 2.Identify all available assistance………. Calculate total assistance available to the homeowner– e.g., insurance proceeds, FEMA award, private loan, line of credit, etc.

A. Determine Need & Duplicative Benefits– recap 3.Exclude non-duplicative funds…………... Exclude the private loan and the line of credit– these will not reduce the CDBG-DR award available to the homeowner

B. Calculate Award  Subtract all assistance found to be duplicative from identified need; reduce award if program cap in place.  Basic framework: 1. Identify Applicant’s Total Need$ 100, Identify All Potentially Duplicative Assistance$ 35, Deduct Assistance Determined to be Duplicative$ 30, Maximum Eligible Award (Item 1 less Item 3)$ 70, Program Cap (if applicable)$ 50, Final Award (lesser of Items 4 and 5)$ 50,000

C. Unmet Needs  Disaster recovery needs are calculated at a point in time; a subsequent change may affect need  E.g., vandalism, contractor fraud, an increase in the cost of materials and/or labor, subsequent damage, etc.  May provide additional assistance if initial need not fully met  Unmet need is typically identified after CDBG-DR funds have been provided…but in some cases, may be provided before  Discretion to determine ways to identify and verify unmet need; physical inspection/professional appraisals are highly recommended

D. Use of CDBG-DR Funds  Funds must be used for eligible purposes of the program or activity for which they have been provided  E.g., funds provided to repair a home should be used strictly for the repair of that home; funds provided to a business for equipment replacement, or structural repair, should be used only for those purposes  In general, CDBG disaster recovery funds should not be used to pay down an SBA loan  Possibly some exceptions; HQ will evaluate on a case-by-case basis

E. Recapture  Federal Agency that provides the funds responsible for recapture. For HUD, means CBDG-DR grantees  Grantees (and if applicable, subgrantees) should have recapture policies and procedures  To ensure recapture, a subrogation agreement should be signed by every applicant prior to the receipt of assistance  Risk of DOB may inform policy regarding monitoring for DOB after CDBG-DR award  Ex. If future assistance is nearly certain but amount is uncertain, higher risk of DOB

Tips to Avoid Duplications  Program Design  State and private funds can cause a DOB; what other programs are available to assist potential applicants?  Plan CDBG-DR assistance to fund eligible activities that won’t be fully funded by other programs  Communicate with other assistance providers  Planning  Stagger timing of application periods  Data sharing agreements  Subrogation agreement

Documentation Checklist  The grantee or subgrantee should:  Have DOB policies and procedures  Identify in the application, all sources of funds received by the applicant:  From FEMA; documented by letter, and/or data provided by FEMA to grantee  From insurance; documented by letter, and/or data (if available; depends on state)  From SBA; documented by letter, and/or data provided by SBA to grantee (if available)  From any other sources

Questions?