Page 104

104 | P a g e October 25 Note: When the net amount of alleged fraud is under $10.00 no recoupment will be attempted. 2. The Field Monitor will evaluate and determine if a referral is appropriate. a) If not, report back to the Sub-grantee b) If so, the case will be referred to the DPHHS Office of Inspector General Program Compliance Bureau. 3. DPHHS Office of Inspector General Program Compliance Bureau will review the case. a) If additional Information is needed the Program Compliance Bureau will contact the Sub-grantee directly. b) Once the investigation is complete, findings will be reported to IHSB with one of the following recommendations: i. Drop ii. Pursue 4. The Field Monitor will review the investigative results and proceed as necessary. a) Dropped cases will be reported to the Sub-grantee i. Document on the Investigation Spreadsheet b) Overpayments will be calculated. i. Overpayment Letter will be sent with the Fair Hearing language as provided in ARM 37.70.106 ii. Repayment Agreement will be sent. 5. The completed LIHEAP Investigative Referral form should be kept in the case file for future reference. 6. Overpayments will be recouped in one of the following ways: a) Lump Sum Payment in Full b) Installment Payments c) Reduction of future LIHEAP benefits to repay entire unpaid balance. 7. Future LIHEAP and Weatherization benefits should not be provided until all overpayments are paid in full or departmental approval is provided. Note: If there is no response to the repayment request, the household’s tax refund may be offset to pay the LIHEAP overpayment. Note: Refer to the Section on Incorrect Payments. 6.7 Fraud Investigation UNIT'S OBJECTIVES: The Fraud Unit's major objectives are: • To investigate all referrals of probable fraud from the Department of Public Health and Human Services (DPHHS) and to refer them for prosecution or civil collection. • To coordinate fraud prosecutions with the appropriate County Attorney(s).