Special Assistance SA-3410 RECIPIENT FRAUD

V. DETECTION

Referrals for investigations may be received from the following sources:

A. State Office

Any leads received by the state office will be referred to the county DSS for investigation. Once the investigation is completed, advise the State Office of the outcome. If a fraud case or an overpayment is established, submit the appropriate reporting forms.

B. Quality Assurance Reviews

During their regular review, Quality Assurance staff sometimes detects possible fraud. Cases found in error or suspected of fraud will be referred to the county DSS for further investigation.

C. Private Sector and Other Agencies

If you receive information from other agencies, institutions, providers, other a/r's or private citizens, you are required to investigate the lead. Emphasize that such reporting will be kept confidential. Some people may be reluctant to report suspected cases of fraud if they feel their names will be disclosed.

D. Agency Staff

During the application and review processes, the county DSS staff may discover cases of possible fraud, abuse or misrepresentation.

E. Other sources include but are not limited to:

1. Computer matches such as the TPQY, SOLQ, DOC, DMV, ESC/UI, SDX, BENDEX, Financial Resource Report, BEER, etc.

2. Tax records (unreported personal property, automobiles, farm equipment)

3. Register of Deeds records (marriage, transfer of property)

4. Social Security records (increases, lump sum payments, dual benefits)

5. Court records (support, prior convictions)

6. HUD records (household composition, reported income)

7. School records (address, household composition, responsible party)

8. Utility company records (address, responsible party)

9. Landlords, neighbors, relatives (collaterals)

10. Newspaper reports (births, deaths, marriages)

Refer to SA-3410 Figure 2, Referral for Investigation.







For questions or clarification on any of the policy contained in these manuals, please contact your local county office.