Health care fraud is a crime that has a big impact on the health care system, and you play a vital role in stopping fraud, waste and abuse. Unfortunately, there may be times when you see fraud, waste and abuse relating to Medicaid services.
You can report fraud, waste and abuse by following the instructions below. Please include as much detail as you can. You aren’t required to provide your personal information.
To report member or provider fraud, waste and abuse:
Phone: Fraud Tip Hotline at 1-855-232-7640 (TTY: 711)
Online:
Fraud is a false statement from someone who knows that the statement is false.
Waste is when someone uses a service more than they need to.
Abuse may not be intentional and is when actions lead to extra health care costs or losses to the health care system.
Examples of provider fraud and abuse
Examples of member fraud and abuse
In addition, health care fraud is a real crime with real consequences. It could lead to fines or even jail time.