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95 | P a g e October 25 INFORMATION TO BE SHARED WITH THE DEPARTMENT OF PUBLIC HEALTH AND HUMAN SERVICES (DPHHS) OFFICE OF INSPECTOR GENERAL PROGRAM COMPLIANCE BUREAU:
The Department may release information on an applicant or recipient to the DPHHS Office of Inspector General Program Compliance Bureau or other government authority, court, or law enforcement Sub-grantee in legal and investigative actions, without obtaining the applicant's or recipient's consent for such release, concerning:
• fraud or third-party liability • the collection of overpayments or fraudulent claims
All information secured will be shared with the DPHHS Office of Inspector General Program Compliance Bureau.
The Department and the sub-grantee shall make available to the DPHHS Office of Inspector General Program Compliance Bureau all records, files, memoranda, forms, or other papers relating to Energy Assistance matters.
DISCLOSURE OF CONFIDENTIAL INFORMATION BY THE DPHHS QUALITY ASSURANCE DIVISION PROGRAM COMPLIANCE BUREAU: No information obtained by the DPHHS Office of Inspector General Program Compliance Bureau because of an investigation shall be disclosed except in accordance with the laws applicable to the source of the information provided. However, such information may be used or disclosed as necessary in any court action.
REQUESTS FOR SAFEGUARDED INFORMATION BY THE DPHHS OFFICE OF INSPECTOR GENERAL PROGRAM COMPLIANCE BUREAU:
When the DPHHS Office of Inspector General Program Compliance Bureau makes a direct request to the sub-grantee for information concerning a case of fraud, third party liability, or nonsupport, the material may be sent directly to the DPHHS Office of Inspector General Program Compliance Bureau. However, the request must be in writing.
Department of Public Health and Human Services Fraud and Recovery Procedure LIHEAP Referral Form Instructions:
The Gray area of the form is for the Referring Sub-grantee and IHSB use; The White sections are for Program Integrity Section use. Use the tab key to negotiate the form fields.
Referring Sub-grantee, please fill out the following: 1. Case Name and Social Security Number 2. Case Address 3. Other Adult Household Members and Social Security Numbers 4. Description of Discovery and Circumstances of the LIHEAP referral