The Informant
The SSA system used to develop and refer fraud allegations involving SSA programs and operations.
Allegation Referral Intake System
SM 01311.632
Effective September 27, 2008, we may administratively waive recovery or adjustment, i.e., administratively discontinue waiver development, on an overpayment if the original amount (not the balance) is ______________
$1,000.00 or less
These 2 elements are needed in order to post Prisoner Suspense for T2
Convicted and Confined
SSA term used to describe the concept that determinations of eligibility and payment are final and binding, unless timely appealed or reopened. In practice, it refers to how far back we can reopen a determination
Administrative Finality
Who Is liable (Responsible) for repayment, when an overpaid individual is deceased?
The representative payee (or his or her estate) is solely liable for repaying any payment(s) received by a representative payee on behalf of a deceased recipient after the deceased recipient’s month of death. This policy was effective 12/04/2008.
This diary indicates that the sum of overpayment disposition decisions and refunds is greater than the sum of overpayments and penalties.
B4 diary
SSA should not collect _______ from Federal Payments subject to the FLA- D limit
A Penalty
Term that describes the time requirement a T16 recipient must be incarcerated in order to suspend the monthly T16 payment
Throughout the month
When no notice (letter) is sent but eligibility and payment remained the same and was not $0, this occurs the first day of each month
Deemed Initial Determination
If a person does not request a reconsideration, when do administrative sanctions begin?
Sanctions begin the first day of the second month after the month reconsideration rights end on the decision to impose the sanction
You clear the diary by transmitting the correct address and/or ZIP code or by deleting the diary
Z7 Diary
A ______________ is a penalty, which allows us to withhold a person’s current or future Title II benefits and Title XVI payments. It can be in addition to any other penalty that may result from false or misleading statements or late or incomplete reporting.
When a T16 recipient is discharged from prison/jail and becomes eligible upon release but after the first of the month, this term describes what happens to their benefit
Prorated/Proration
If we have an RZ appt today for an uninitiated RZ and the last RZ initiation date (RZI) posted to the SSR was 04/23 with a RZ close date (RZC) of 10/23, we should verify back to what date
04/2023
The system used when an allegation of misuse is being developed.
eRPS
When the master earnings file (MEF) interfaces with the SSR, this type of diary is set when the amount on the SSR is higher basically over-reported wages.
J3 Diary
SI 02310.056
If a waiver was filed and the determination cannot be made within 10 days of the date the request is filed then the following actions must take place
Stop recovery or adjustment; and Refund, the amount recovered for the month of the waiver request and any subsequent month. (SI 02260.001A5)
31/31st day
If the last RZ was initiated and closed on 12/2020 and the FO has a RZ appt on 12/20/2023 without any income/resource related diaries, then this month's benefit is the earliest benefit we could adjust
01/2024
When SSA determines that an individual payee serving 14 or fewer beneficiaries has misused benefits, SSA must also make a formal _______________
Negligence determination
GN 00604.050
The age at which the KC diary requires Claims Specialist to conduct gerontology interviews with SSI recipients
AGE 90 AND OVER
We denied the claimant’s waiver of recovery of an overpayment based on “not without fault.” 6 months later the claimant files another waiver request. When the adjudicator reviews it, there is no new evidence. A second waiver determination is not required. This is an example of ___
Res Judicata
GN 03101.160
In addition to going through PUPS to show the release date, this action/change in this program is what reinstates a T16 recipient's benefit
LA change in CCE
If the last RZ was initiated and closed on 12/2020 and the FO has a RZ appt on 12/20/2023 with a 5B income related diary (Z4 transaction date of 08/05/2023) then we can change income going back to this month/year assuming a BM of 2 for all months
07/2021