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SOCIAL SECURITY ADMINISTRATION
Office of Disability Adjudication and Review

HALLEX
Volume I

Transmittal No. I-2-112

Chapter: I-2-10

Subject: Fraud, Similar Fault, and Administrative Sanctions

Background

This transmittal amends chapter I-2-10 in the Hearings, Appeals and Litigation Law (HALLEX) manual to incorporate instructions for redeterminations based on fraud or similar fault.

Explanation of Content and Changes

I-2-10-1 A – We added information and references to procedures for redeterminations based on fraud or similar fault.

I-2-10-1 B – We added a NOTE 3 to clarify that when a claim is redetermined based on fraud or similar fault, the ALJ may be directed to disregard certain evidence.

I-2-10-2 – We added a NOTE 2 to clarify that specific instructions will be provided to hearing offices on a case- by-case basis when claims are redetermined based on fraud or similar fault.

I-2-10-6 A – We added a NOTE to clarify that specific language will be provided on a case-by-case basis when claims are redetermined based on fraud or similar fault.

I-2-10-10 A – We added a reference to redetermination procedures based on fraud or similar fault in NOTE 1.

I-2-10-10 D – We added a NOTE to clarify that the Office of the Inspector General may also refer cases to the agency for a redetermination based on fraud or similar fault.

I-2-10-14 A – We added a NOTE 1 to clarify that specific instructions will be provided when we redetermine a claim based on fraud or similar fault.

Date: June 25, 2014