Identification Number:
DI 39569 TN 5
Intended Audience:See Transmittal Sheet
Originating Office:ORDP OISP
Title:Program Integrity
Type:POMS Transmittals
Program:Disability
Link To Reference:
 

PROGRAM OPERATIONS MANUAL SYSTEM
Part DI – Disability Insurance
Chapter 395 – DDS Fiscal and Administrative Management
Subchapter 69 – Program Integrity
Transmittal No. 5, 03/17/2020

Audience

ODD-DDS: ADM;

Originating Component

ODD

Effective Date

Upon Receipt

Background

This is a Quick Action Transmittal. These revisions do not change or introduce new policy or procedure.

Summary of Changes

DI 39569.600 Violations and Fraud in the Social Security Administration Programs and Operations

updating POMS section with ARIS link

DI 39569.600 Violations and Fraud in the Social Security Administration Programs and Operations

The Social Security Administration (SSA) must protect its programs against fraud, waste, and abuse. The Office of the Inspector General (OIG) investigates:

  • allegations of fraud, waste, and abuse within SSA programs and operations; and

  • suspected violations involving disability cases processed by federal employees, Disability Determination Services (DDS) employees, and contractors.

A. Examples of violations and fraud

  • Conflicts of interest

  • False evidence or alterations in documents

  • Fraud or misuse of contracting funds

  • Standards of conduct violations

B. Detecting, developing, and reporting violations or fraud

DDS management is responsible for reviewing cases selected by the Comprehensive Integrity Review Process (CIRP) to detect potential violations and fraud.

DDS employee responsibilities include:

  • detecting potential violations and fraud in SSA programs and operations; and

  • developing evidence needed to support or remove the suspicion that a violation or fraud may have been committed.

NOTE: Use the Allegation Referral Intake System (ARIS), to report potential violations to the Office of the Inspector General (OIG) Office of Investigations. Instructions for using ARIS are in GN 04111.035.

C. Reference

  • GN 04110.005, Detecting Potential Criminal Violations and Fraud

  • GN 04111.005, Reporting Guidelines for Program Violations

  • GN 04111.035, How the Disability Determination Services (DDS) Report Program Violations


DI 39569 TN 5 - Program Integrity - 3/17/2020