8.2.1 Fraud Investigation

A fraud investigation occurs to determine whether an individual intentionally misrepresented their eligibility criteria or committed an IPVIntentional Program Violation (see 8.1.1).

In most potential fraud cases, an agency has reason to believe an overpayment is the result of intentional misrepresentation of program eligibility requirements as the result of:

·        False or misleading statements of circumstances, including income, assets, and household composition;

·        Concealed or withheld facts;

·        Violation of a program regulation or State statute relating to program eligibility; or

·        A payment that would not have been provided if case information had not been misrepresented

History: Release 25-01.