When we make a determination to suspend current payments, we are making an initial determination. If a recipient appeals an initial determination, the first level of appeal is a reconsideration. Process as follows:

1. a. 

   process a request for payment continuation per SI 02301.310C;

2. b. 

   do not update PUPS with a protest action;

3. c. 

   process the request for reconsideration per SI 04020.000; and

4. d. 

   evaluate the recipient's reason for appeal using the steps in GN 02607.770B in this section.

When we make a determination to suspend payments for a closed period, we are making a revised initial determination. If a recipient appeals a revised initial determination, the first level of appeal is a hearing. Process as follows:

1. a. 

   do not update PUPS with a protest action;

2. b. 

   process the request for a hearing per SI 04030.000; and

3. c. 

   evaluate the recipient's reason for appeal using the steps in GN 02607.770B in this section.

Determine the release date by requesting from the recipient:

1. a. 

   the official release documentation; or

2. b. 

   a copy of the release document that is certified by the custodian of the record. The document should state that the individual was released (date of release) and is no longer a prisoner or inmate of that correctional institution.

1. a. 

   Investigate the allegation by:

   • •

     preparing a report on the Report of Contact page in CCE that records the facts and types of evidence presented during the interview or case review;

   • •

     contacting the appropriate official of the correctional institution that reported the information to SSA, court authorities, or prosecuting attorney's office to request assistance in verifying the identity of the individual and date of confinement;

   • •

     determining if the individual is participating in a work-release or in a home monitoring program;

   • •

     requesting statements from reliable sources that can attest to the whereabouts of the individual (e.g., employers, neighbors, community leaders, local law enforcement community, church group, doctors, hospitals, etc.);

   • •

     asking the recipient if their SSN was ever lost or stolen; and

   • •

     asking the recipient if they know of anyone who may be using their SSN illegally.

2. b. 

   If you discover evidence during the investigation that indicates another individual is fraudulently using the SSN reported by the correctional facility, develop for fraud and similar fault following the instructions in SI 04070.020. Report potential programmatic fraud cases directly to the Office of Inspector General’s (OIG), Office of Investigations Field Division (OIFD) following instructions in GN 04111.005.