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Supplemental Security Income: Action Needed on Long-Standing Problems Affecting Program Integrity

HEHS-98-158 Published: Sep 14, 1998. Publicly Released: Sep 14, 1998.
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Highlights

GAO provided information on the management problems associated with the Social Security Administration's (SSA) Supplemental Security Income (SSI) Program.

Recommendations

Recommendations for Executive Action

Agency Affected Recommendation Status
Social Security Administration Revising SSA's organizational culture will likely take several years of sustained effort at the highest levels of the agency. To facilitate such a change, the Commissioner of Social Security should enhance SSA's ability to verify applicant- and recipient-reported eligibility information and deter overpayments by accelerating efforts to identify more timely and complete sources for verifying SSI financial eligibility information.
Closed – Implemented
SSA substantially increased the number of financial reviews it conducts to verify recipient financial eligibility. SSA calculated that, in fiscal year (FY) 1999, it collected/prevented $592 million more in SSI overpayments over FY1998 levels. SSA also expanded its use of online state data to obtain real-time recipient financial information, and obtained legislative approval, in 1999, to access applicant/recipient information from state databases and financial institutions to better document assets. In January 2002, SSA also began seizing the title II benefits of former SSI recipients with overpayments, and recently began using a new automated system to identify and recover SSI overpayments that were not carried forward as recipients came on and off the rolls over time. SSA estimates it will recover several hundred dollars in additional overpayment through these two initiatives.
Social Security Administration Revising SSA's organizational culture will likely take several years of sustained effort at the highest levels of the agency. To facilitate such a change, the Commissioner of Social Security should sustain efforts to obtain and implement additional SSI overpayment deterrence and debt collection tools commonly available to other means tested programs. These include using credit bureau reporting, collection agencies, intercepts of other state and federal benefit payments, and interest levies to recover more SSI debt.
Closed – Implemented
SSA submitted a legislative proposal to Congress seeking authority to use credit bureaus, private collection agencies, interest levies, and other tools to strengthen its overpayment collection efforts. The proposal's SSI provisions were incorporated into the Foster Care Independence Act of 1999 (H.R. 1802), which was signed into law in December 1999. CBO has calculated that, when fully implemented, the Act's SSI proposals will yield about $57 million in additional annual overpayment recoveries. In addition to this legislation, SSA plans to implement various debt collection tools in the next fiscal year.
Social Security Administration Revising SSA's organizational culture will likely take several years of sustained effort at the highest levels of the agency. To facilitate such a change, the Commissioner of Social Security should, for recipients who chronically and willfully abuse SSI reporting requirements, seek legislative authority to withhold higher amounts than the current 10-percent maximum.
Closed – Not Implemented
In its comments to GAO's report, SSA noted that since the average SSI overpayment is about $870, and can be recovered from current SSI recipients in 2 to 3 years, authority to withhold higher amounts of benefits was unnecessary. Consequently, SSA does not intend to implement this recommendation.
Social Security Administration Revising SSA's organizational culture will likely take several years of sustained effort at the highest levels of the agency. To facilitate such a change, the Commissioner of Social Security should reassess current policies for imposing penalties on recipients who do not report important eligibility information. This may include examining whether current penalty usage is sufficient to deter recipient nonreporting and removing any external or agency-created obstacles to using penalties.
Closed – Not Implemented
In its comments to GAO's report, SSA noted that its recently submitted legislative proposal included several provisions to deter and recover SSI overpayments. Thus, SSA did not believe a review of its current overpayment penalty policies was necessary.
Social Security Administration Revising SSA's organizational culture will likely take several years of sustained effort at the highest levels of the agency. To facilitate such a change, the Commissioner of Social Security should reevaluate SSA's field office work-credit and incentive structure at all levels of the agency and make appropriate revisions to encourage better verification of recipient information and greater staff attention to fraud prevention and detection. For improved accountability, line staff and middle management expectations, as well as senior executive contracts, should include specific requirements and performance measures in this area.
Closed – Implemented
SSA completed a review of its work measurement systems in June 1999. New requirements were forwarded to its Office of Information Management (OIM), a component responsible for obtaining new data for previously uncounted workloads. SSA now maintains counts on the development and investigation of fraud activities. Fraud activities were also added to District Office Weekly Reports in fiscal year 2001. SSA worked with its Office of Inspector General (OIG) in developing a reporting mechanism to count fraud workloads. Field-initiated fraud development is now counted upon receipt by the OIG. SSA also maintains counts on fraud hotline allegations sent to the field offices for development.
Social Security Administration To facilitate a change in SSA's management approach and improve SSI program direction, the Commissioner of Social Security should better utilize SSA's policy development component to address SSI program policies that, for many years, have placed the program at risk of fraud, waste, and mismanagement. This would include, but not be limited to, the development and advancement of legislative proposals aimed at simplifying complex SSI living arrangement and in-kind support and maintenance policies and continuing SSA's sponsorship of legislation restricting the transfer of valuable assets and resources to qualify for SSI benefits.
Closed – Implemented
In its comments on GAO's report, SSA acknowledged the need to play a more active policy development role. Accordingly, SSA restructured its research and policy development components to better address GAO's concerns. SSA has also made conducting effective policy development, research, and program evaluation a key agency goal. The newly created Office of Policy has also obtained additional staffing resources. Finally, SSA developed and submitted to Congress its first major SSI legislative proposal that included SSI asset transfer restrictions and other program integrity initiatives. These were incorporated into the Foster Care Independence Act of 1999. SSA also recently analyzed complex SSI living arrangement and in-kind support and maintenance policies, and outlined options for program simplification.
Social Security Administration To facilitate a change in SSA's management approach and improve SSI program direction, the Commissioner of Social Security should move forward in developing an SSI-focused strategy or plan with clearly defined priorities, goals, and performance measures to gauge SSA's progress in addressing its most significant SSI program challenges. This document should be consistent with the Results Act and include specific initiatives, goals, and performance measures aimed at addressing long-standing SSI program problems and facilitating a change in SSA's organizational culture and management approach to the SSI program.
Closed – Implemented
SSA agreed with the recommendation, and produced its first SSA management report in October 1998, which discussed the need to take aggressive action in four areas: improving overall payment accuracy, increasing continuing disability reviews, combating program fraud, and improving debt collection. The management report also established specific goals to measure the anticipated yearly impact of planned initiatives in each of these areas. In its fiscal year 2000 Annual Performance Plan, SSA also developed revised strategic goals, objectives, and performance measures for the SSI program that address both program management problems and the need to combat fraud and abuse. The plan also includes a separate standalone summary table linking SSA's strategic objectives, performance indicators, and fiscal year 2000 goals. Consistent with the results act criteria, SSA's plan also includes clarifying text that explains how each SSI goal links to accomplishing SSA's strategic objectives.

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Topics

Claims processingEligibility determinationsFraudIncome maintenance programsInternal controlsOverpaymentsProgram abusesProgram managementReporting requirementsSocial security benefitsSupplemental security income