.03 Acting on OSI Reports of Investigation – Violations Found
(2/01/14 - 03/31/14)
The Tucson Processing Center, site code 281C, mail drop 33N2 is to receive and process the Report of Investigation (ROI) with violations found for cases when both of the following apply:
The case contains CA or NA
The case is either closed or active and not pending an application.
All other ROIs for cases where violations are found are to be sent to the local office or hospital that requested the investigation for processing. This includes, but is not limited to, the ROIs for all cases with pending applications (initial or renewal)
When the Violations Found box is checked or indicated on the ROI, determine whether additional mandatory verification is needed.
(See Information Needed for policy on requesting required verification)
When the ROI is returned on a pending case and additional information is not needed, complete the eligibility determination. Review all information and verification provided by the participant or the investigators and determine its impact on the determination.
When the ROI is returned on an ACTIVE case and additional information is not needed, take appropriate action to complete any necessary changes. For instructions on processing changes see the following:
Send the C023 with any adverse action.
When a change results in a negative action supervisor approval is required prior to taking the action and sending the C023.
Notify the investigator, via interoffice mail, of the eligibility determination based on the investigation findings, using the Case Action Report (OSI‑002) form for investigations completed by Office of Special Investigation (OSI).