reporting medicaid fraud

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STATE BY STATE FRAUD AND ABUSE REPORTING CONTACTS
The following table shows the state contact information for reporting fraud and abuse for each state. The table is arranged with rows representing each state and columns representing the necessary contact information for that state.
STATE BY STATE FRAUD AND ABUSE REPORTING
Name of State
Name of State Medicaid Agency (SMA)
Fraud Reporting Number
Link to SMA Website for reporting suspected fraud & abuse
Agency Housing MFCU
MFCU Fraud Reporting Number
Link to MFCU Website where suspected fraud can be reported
Alabama
Alabama Medicaid Agency
866-452-4930
http://www.medicaid.state.al.us/fraud_abuse/reporting_fraud.aspx?tab=7
Office of the Attorney General
general MFCU number:
334-353-8793
No "how to report" Medicaid fraud link.
Alaska
Department of Health and Human Services
Recipient fraud-Anchorage office:
800-478-6406
Link for reporting recipient fraud: http://www.hss.state.ak.us/dpa/features/org/fraud.htm
Office of the Attorney General
907-269-6279
http://www.law.state.ak.us/department/criminal/mfcu.html
Arizona
Arizona Health Care Cost Containment System
602-417-4045 or
888-487-6686
http://www.azahcccs.gov/fraud/reporting/reporting.aspx
Office of the Attorney General
602-542-3881
http://www.azag.gov/seniors/mfcu.html
Arkansas
Department of Human Services
888-987-1200
https://www.medicaid.state.ar.us/InternetSolution/consumer/contacts.aspx
Office of the Attorney General
501-682-2007 or
800-482-8982
http://www.ag.state.ar.us/contact_us_medicaid_fraud_form.html
California
Department of Health Care Services/Health Care Programs
800-822-6222
http://www.dhcs.ca.gov/individuals/pages/stopmedi-calfraud.aspx
Office of the Attorney General
800-722-0432
http://www.ag.ca.gov/bmfea/medical.htm
Colorado
Department of Health Care Policy and Financing
303-866-3513 or outside Denver:
800-221-3943
http://www.colorado.gov/cs/Satellite/HCPF/HCPF/1197969485469
Office of the Attorney General, Colorado Department of Law
303-866-5431
http://www.coloradoattorneygeneral.gov/departments/criminal_justice/medicaid_fraud_control_unit
Connecticut
Department of Social Services
866-700-6109 or
800-842-2155
http://www.chnct.org/providers/FraudAbuse.aspx
Office of the Chief State's Attorney
860-258-5986
http://www.ct.gov/csao/cwp/view.asp?a=1798&q=285772&csaoNav=%7C
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Name of State
Name of State Medicaid Agency (SMA)
Fraud Reporting Number
Link to SMA Website for reporting suspected fraud & abuse
Agency Housing MFCU
MFCU Fraud Reporting Number
Link to MFCU Website where suspected fraud can be reported
Delaware
Delaware Health and Social Services
302-255-9010
http://dhss.delaware.gov/dhss/dms/arms/reportfraud.html
Office of the Attorney General
302-577-5000
http://attorneygeneral.delaware.gov/family/elderlyviolence/medicaidfraud.shtml
District of Columbia
Department of Health Care Financing
877-632-2873
http://dhcf.dc.gov/dhcf/cwp/view,A,1412,Q,609122,dhcfNav,%7C34820%7C.asp
Office of the D.C. Inspector General
202-727-8008
http://oig.dc.gov/main.shtm
Florida
Agency for Health Care Administration
888-419-3456
http://apps.ahca.myflorida.com/inspectorgeneral/fraud_complaintform.aspx
Office of the Attorney General
866-966-7226
http://myfloridalegal.com/pages.nsf/4492d797dc0bd92f85256cb80055fb97/ebc480598bbf32d885256cc6005b54d1!OpenDocument
Georgia
Georgia Department of Community Health
404-463-7590 or
800-533-0686
http://dch.georgia.gov/00/channel_title/0,2094,31446711_32374403,00.html
Jointly operated by AG's Office, GA Bureau of Investigation & GA Dept. of Audits and Accounts
770-414-3640 or outside Atlanta
800-508-9109
http://shcfcu.georgia.gov/01/home/0,2197,859891,00.html;jsessionid=343A207501476C37956E00E4AF81DBD3
Hawaii
Department of Human Services (Med-Quest Division)
808-524-3370 (Oahu), other islands:
800-316-8005
No “how to report” Medicaid fraud link
Department of the Attorney General
808-586-1058
http://hawaii.gov/ag/criminal_justice/medicaid/
Idaho
Department of Health and Welfare
208-334-5754
http://www.healthandwelfare.idaho.gov/AboutUs/FraudReportPublicAssistanceFraud/ReportHealthCareFraud/tabid/322/Default.aspx
Office of Attorney General
208-334-4100
http://www2.state.id.us/ag/mfcu/mfcu_index.htm
Illinois
Department of Healthcare and Family Services
217-785-7030
http://www.state.il.us/agency/oig/reportfraud.asp
Illinois State Police
888-557-9503
http://www.isp.state.il.us/crime/medicaidfraud.cfm
Indiana
Family and Social Services Administration
Public Assistance fraud:
800-446-1993
http://www.in.gov/fssa/2385.htm
Office of the Attorney General
800-382-1039
http://staging.hirons.com/websites/0746-OAG/0242/consumer/medicaid/
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Name of State
Name of State Medicaid Agency (SMA)
Fraud Reporting Number
Link to SMA Website for reporting suspected fraud & abuse
Agency Housing MFCU
MFCU Fraud Reporting Number
Link to MFCU Website where suspected fraud can be reported
Iowa
Department of Human Services
SURS PI Hotline:
515-725-1346 Des Moines or 877-446-3787
http://www.ime.state.ia.us/Providers/SURS/contacts.html
Department of Inspections and Appeals
general MFCU number
515-281-6377
No "how to report" Medicaid fraud link. General fraud reporting link is: http://www.state.ia.us/government/dia/page31.html
Kansas
Kansas Health Policy Authority
785-296-1076
http://www.khpa.ks.gov/oig/default.htm
Office of the Attorney General
866-551-6328 or
785-368-6220
http://www.ksag.org/page/medicaid-fraud-and-abuse-unit
Kentucky
Department of Medicaid Services
800-372-2970
http://chfs.ky.gov/dms/Program+Integrity.htm
Office of the Attorney General
877-228-7384
http://ag.ky.gov/civil/medicaidfraud/
Louisiana
Department of Health and Hospitals
800-488-2917
http://www.dhh.louisiana.gov/offices/fraudform.asp?ID=92
Office of the Attorney General
225-326-6210 or
888-799-6885
http://www.ag.louisiana.gov/Article.aspx?articleID=28&catID=12
Maine
Department of Health and Human Services
207-287-2409 or
800-442-6003
http://www.maine.gov/dhhs/faq.htm#fraud
Office of the Attorney General
direct MFCU number 207-626-8870
Consumer complaint form at: http://www.maine.gov/ag/contact.html
Maryland
Department of Health and Mental Hygiene
866-770-7175
http://dhmh.maryland.gov/oig/fraud/providerfraud.htm
Office of the Attorney General
general MFCU number
410-576-6521
Link for filing consumer or health care complaint:
http://www.oag.state.md.us/Consumer/complaint.htm
Massachusetts
Office of Medicaid
877-437-2830
http://www.massresources.org/pages.cfm?contentID=35&pageID=13&subpages=yes&dynamicID=558#fraud
Office of the Attorney General
general MFCU number
617-727-2200
Atty General's Office has no "how to report" Medicaid fraud link, but link with consumer call-in numbers is:
http://www.mass.gov/?pageID=cagoutilities&L=1&sid=Cago&U=Cago_contact_us
Michigan
Department of Community Health
1-866-428-0005
http://www.michigan.gov/mdch/0,1607,7-132-2945_42542_42543_42546_42551-220188--,00.html
Office of the Attorney General
800-242-2873
http://www.michigan.gov/ag/0,1607,7-164-17334_18152-47192--,00.html
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Name of State
Name of State Medicaid Agency (SMA)
Fraud Reporting Number
Link to SMA Website for reporting suspected fraud & abuse
Agency Housing MFCU
MFCU Fraud Reporting Number
Link to MFCU Website where suspected fraud can be reported
Minnesota
Department of Human Services
651-431-2650 or
800-657-3787 Same toll-free phone number as AG's Office
http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_000253#
Office of the Attorney General
651-296-3353 or
800-657-3787
No "how to report" Medicaid fraud link. General consumer complaint link is:
http://www.ag.state.mn.us/Office/ContactUs.asp
Mississippi
Division of Medicaid
601-987-3962 or
800-880-5920
http://www.medicaid.ms.gov/PI/FraudAbuse/FraudForm.aspx
Office of the Attorney General
general MFCU number
601-359-4220
http://www.ago.state.ms.us/index.php/sections/divisions/medicaid_fraud
Missouri
Department of Social Services
573-51-7192 or 800-286-3932
http://www.dss.mo.gov/mhd/general/pages/rptfraud.htm
Office of the Attorney General
800-286-3932
http://ago.mo.gov/divisions/medicaid-fraud-control-unit-faqs.htm
Montana
Department of Public Health and Human Services
800-376-1115 Same phone number as the link to MFCU
http://www.dphhs.mt.gov/hrd/fraudandabuse.shtml or http://www.dphhs.mt.gov/qad/programcompliance/surveillanceutilizationreview.shtml
Montana Dept. of Justice, Division of Criminal Investigation
800-376-1115
http://www.doj.mt.gov/enforcement/criminalinvestigation/default.asp#investigationsbureau
Nebraska
Department of Health and Human Services
402-471-3549 or
800-727-6432 Same phone number as the link to MFCU
http://www.hhs.state.ne.us/med/contacts.htm
Office of the Attorney General
800-727-6432
http://www.ago.ne.gov/your/office/public/medicaid.htm
Nevada
Division of Health Care Financing and Policy
In-state:
877-543-7669 Out-of-state: 800-992-0900
https://dhcfp.nv.gov/index.htm
Office of the Attorney General
800-266-8688
http://ag.state.nv.us/org/bcj/mfcu/mfcu.htm
New Hampshire
Department of Health and Human Services
(603) 271-4441 or (800) 780-4757 ext. 4441
http://www.dhhs.nh.gov/oii/fraud.htm
Office of the Attorney General
603-271-1246
http://doj.nh.gov/medicaid/whotocall.html
New Jersey
Department of Human Services
609-826-4701
http://www.state.nj.us/njomig/faqs.html
Office of the Attorney General
888-937-2835
http://www.nj.gov/oag/dcj/njmedicaidfraud/index.html
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Name of State
Name of State Medicaid Agency (SMA)
Fraud Reporting Number
Link to SMA Website for reporting suspected fraud & abuse
Agency Housing MFCU
MFCU Fraud Reporting Number
Link to MFCU Website where suspected fraud can be reported
New Mexico
Medical Assistance Division/ Human Services Department
505-827-3141 or
505-827-3103
http://www.hsd.state.nm.us/mad/
Office of the Attorney General
505-222-9079 or
800-525-6519
http://www.nmag.gov/office/Divisions/MF/contacts.aspx
New York
New York State Department of Health
877-873-7283
http://www.omig.state.ny.us/data/images/stories//sfp_english.pdf
Office of the Attorney General
800-771-7755
http://www.ag.ny.gov/bureaus/medicaid_fraud_control/faqs.html#12
North Carolina
Department of Health and Human Services
877-362-8471
http://www.dhhs.state.nc.us/dma/provider/fraud.htm
Office of the Attorney General
919-881-2320
http://www.ncdoj.com/Help-for-Victims/Elder-Abuse-Victims/Stop-Health-Fraud/Where-to-Report-Fraud-and-Abuse.aspx
North Dakota
Department of Human Services
General Medicaid number:
701-328-2321 or 800-755-2604
http://www.nd.gov/dhs/
No MFCU in ND
Office of Attorney General number is: 701-328-2210
No "how to report" Medicaid fraud link.
Ohio
Department of Job and Family Services
To report welfare fraud: 614-728-7741 or
800-627-8133
http://jfs.ohio.gov/Ohp/providers/OHPFraud.stm
Office of the Attorney General
800-282-0515
http://www.ohioattorneygeneral.gov/Enforcement/Report-Medicaid-Fraud
Oklahoma
Health Care Authority
Oklahoma City 405-521-3921 Tulsa
918-581-2885
http://www.okhca.org/about.aspx?id=226
Office of the Attorney General
general MFCU number 405-521-4274
http://www.oag.ok.gov/
Oregon
Department of Human Services
1-888-372-8301
http://www.oregon.gov/DHS/aboutdhs/fraud/
Office of the Attorney General
general MFCU number
503-229-5725
No "how to report" Medicaid fraud link.
Pennsylvania
Department of Public Welfare
866-DPW-TIPS
http://www.dpw.state.pa.us/dpworganization/officeofadministration/bpi/S_001936
Office of Attorney General
Harrisburg 717-783-1481
http://www.attorneygeneral.gov/uploadedFiles/Crime/medicaid.pdf
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Name of State
Name of State Medicaid Agency (SMA)
Fraud Reporting Number
Link to SMA Website for reporting suspected fraud & abuse
Agency Housing MFCU
MFCU Fraud Reporting Number
Link to MFCU Website where suspected fraud can be reported
Puerto Rico
Puerto Rico Health Insurance Administration
787-474-3300
No "how to report" Medicaid fraud link.
No MFCU in PR
NA
No "how to report" Medicaid fraud link.
Rhode Island
Department of Human Services
401-415-8300
https://www.dhs.ri.gov/dynamic/fraudAbuseIntro.jsp
Office of the Attorney General
401-222-2566 or
401-274-4400 ext 2269
http://www.riag.ri.gov/civilcriminal/medicaid.php
South Carolina
Department of Health and Human Services
888-364-3224
http://www.scdhhs.gov/fraud.asp
Office of the Attorney General
803-734-3660 or
888-662-4328
http://www.scattorneygeneral.org/fraud/medicaidfraud/index.html
South Dakota
Department of Social Services
605-773-3653
No specific “how-to-report" Medicaid fraud link, but link to Office of Recoveries & Fraud Investigations is: http://dss.sd.gov/benefitfraud/recovery/
Office of the Attorney General
MFCU Number:
605-773-4102 Drug Tip Line: 605-394-1884
http://www.state.sd.us/attorney/office/divisions/mfcu/provider.asp
Tennessee
Bureau of Tenn Care
800-433-3982
http://tn.gov/tnoig/WhatIsFraudAbuse.html
Bureau of Investigation
800-433-5454
http://www.tbi.state.tn.us/Crime_invest/medicaid_fraud.shtml
Texas
Health and Human Services Commission
800-436-6184
https://oig.hhsc.state.tx.us/
Office of the Attorney General
512-463-2011
http://www.oag.state.tx.us/forms/mfcu/
Utah
Department of Health
Salt Lake City 801-538-6155 UT & adjacent States
800-662-9651 Other States 801-538-6155
http://health.utah.gov/bpi/main/fraud.php
Office of the Attorney General
801-281-1259
http://www.attorneygeneral.utah.gov/145.html
Vermont
Agency of Human Services
802-879-5900
http://ovha.vermont.gov/for-providers/program-integrity-reporting-suspected-fraud-waste-and-abuse
Office of the Attorney General
802-828-5511
http://www.atg.state.vt.us/issues/criminal-law/medicaid-fraud.php
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Name of State
Name of State Medicaid Agency (SMA)
Fraud Reporting Number
Link to SMA Website for reporting suspected fraud & abuse
Agency Housing MFCU
MFCU Fraud Reporting Number
Link to MFCU Website where suspected fraud can be reported
Virginia
Department of Medical Assistance Services
800-371-0824 Same number as link to MFCU
http://www.dmas.virginia.gov/cs-Recip_Medicl_Fraud.htm
Office of the Attorney General
800-371-0824
http://www.vaag.com/CONSUMER/MEDICAID_FRAUD/
Washington
Department of Social & Health Services
360-586-8888 Same number as link to MFCU
http://www.dshs.wa.gov/Fraud/medicaid.shtml
Office of the Attorney General
360-586-8888
http://www.atg.wa.gov/MedicaidFraud/default.aspx
West Virginia
Department of Health and Human Resources
General Medicaid number:
304-558-1700
No "how to report" provider fraud link or phone number listed
Office of the Inspector General
888-372-8398
https://www.wvdhhr.org/oig/mfcu/secure_report/
Wisconsin
Department of Health and Family Services
General Medicaid number:
608-266-8922
Public Assistance Fraud http://www.dhs.wisconsin.gov/fraud/
Wisconsin Dept. of Justice
800-488-3780
http://www.doj.state.wi.us/dls/medfraud.asp
Wyoming
Wyoming Department of Health
866-571-0944 or
307-777-7531
http://www.health.wyo.gov/healthcarefin/medicaid/progintegrity.html
Office of the Attorney General
recipient fraud 307-777-5481 provider fraud 800-378-0345
http://attorneygeneral.state.wy.us/mfcu.htm
Version of January 26, 2011