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740 Chapter 3:Processes and procedures • Section 5: Program integrity (07/2026) The following are examples of referrals that are appropriate for the ODHS|OHA investigator: • Individuals/providers receiving duplicate benefits using different names and SSNs • Individuals receiving cash, medical or SNAP benefits simultaneously from more than one state or in more than one filing group in Oregon • Individuals failing to report receipt of earned or unearned income • Under-reported earned or unearned income • False report of nonreceipt of benefit and receipt of duplicate benefit • Not reporting assets (e.g., real property, boats, recreational vehicles, livestock, etc.) • Unreported liquid or easily converted assets (e.g., cash, bank accounts, bonds, stock, etc.) • Unreported marriage • Unreported self-employment • Unreported property settlement • Presentation of forged documents by an individual • An individual’s receipt of assistance for nonexistent children or children no longer in the household • “Absent” parent in the household • False presentation of child care expenses including falsified or forged documents, care not provided, a fictitious provider, etc. • Presentation of false claims for OHP benefits including unreported and under- reported income, false claim of residency, unreported assets/resources, false financial groups, etc Do not refer routine eligibility matters such as: • Routine home visits on new, reopened or ongoing cases • Separate financial group verification • In-state motor vehicle license checks • Vital statistics checks • School attendance verification • Citizenship verification • Determining value of assets. Do not ask the ODHS|OHA investigator to investigate sale of drugs or income from illegal activities. These are police matters. Reporting the result of an investigation Upon completion of an investigation, the ODHS|OHA investigator will send a written report (enclosing any documented evidence obtained) to ODHS|OHA the overpayment referral originated and DPU with a copy to the ORU overpayment writer and/or the IPV Team, if appropriate. If a case is referred to a district attorney for consideration of prosecution, ODHS|OHA the overpayment referral