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HALLEX

Chapter I-1-3. Fraud, Similar Fault, Criminal Violations, and Referrals from OIG


Table of Contents

SectionTitle
I-1-3-1Distinguishing Between the Office of the Inspector General and Cooperative Disability Investigations Units
I-1-3-3Actions Subject to Criminal Prosecution for Fraud
I-1-3-6Reporting Fraud or Criminal Violations by Representatives
I-1-3-9Reporting Fraud or Criminal Violations by Employees, Contractors, Claimants, or Other Members of the Public
I-1-3-12Referrals From the Office of the Inspector General Regarding Suspected Misconduct and Criminal Violations
I-1-3-15Adjudicating Fraud or Similar Fault Issues
I-1-3-18Submitting a Referral For Investigation of Possible Fraud or Similar Fault Discovered During Disability Claim Adjudication- Administrative Law Judges
I-1-3-21Submitting a Referral For Investigation of Possible Fraud or Similar Fault Discovered During Disability Claim Adjudication- Appeals Council
I-1-3-25Processing Cases Under Sections 205(u) and 1631(e)(7) of the Social Security Act (Fraud or Similar Fault “Redeterminations”)
I-1-3-26Processing Non-Redetermination Fraud or Similar Fault Cases and Disregarding Evidence Under Sections 205(u)(1)(B) and 1631(e)(7)(A)(ii) of the Social Security Act (Fraud or Similar Fault “Non-Redetermination Cases”)
I-1-3-30Referring Non-Compliant Excluded Medical Sources of Evidence to the Office of the Inspector General
I-1-3-91Exhibit — Office of the Inspector General (OIG), Allegation Management and Fugitive Enforcement Division - Response Attachment