From Social Security’s Office of Inspector
While SSA has made progress implementing corrective actions for both the OASDI and SSI programs, the Agency did not demonstrate improvements to payment integrity or achieve its tolerable improper payment rate for the SSI program. The SSI improper payment rate increased from 9.41 percent (approximately $5.3 billion) in Fiscal Year (FY) 2019 to 10.62 percent (approximately $6.5 billion) in FY 2023.
According to SSA, the Agency’s reliance on self-reporting by beneficiaries, recipients, and their representative payees—who are required to notify SSA when a change occurs affecting their SSI eligibility or payment amounts—leads to many improper payments. Failure to report these changes continues to be a primary cause of overpayments.
One of the leading causes of overpayments to SSI recipients is recipients’ unreported resources in financial accounts that exceed allowable amounts. SSA has tools, such as the Access to Financial Institutions (AFI) program, to help identify excess resources. Using AFI, SSA verifies alleged bank account balances with financial institutions and searches for undisclosed accounts at geographically relevant locations. SSA uses AFI when it processes initial SSI applications and periodic eligibility redeterminations.
However, according to SSA, in FY 2023, 89 percent of overpayments resulting from excess resources in financial accounts occurred because of recipients’ changes after SSA approved their initial SSI applications or completed eligibility redeterminations.
OIG estimates SSA could have prevented approximately $2 billion in overpayments in FY 2023 had it performed AFI searches between approving recipients’ initial applications and completing redeterminations.
OIG previously recommended SSA conduct a study to expand the use of AFI. SSA has not implemented this recommendation.
The problem with implementing this is probably the delay it would cause but, hey, it’s only SSI so it wouldn’t matter to a Republican if the benefits are never paid!