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Medicaid Program Integrity

Report Fraud and Abuse

The mission of the Division of Program Integrity is to provide a reasonable and consistent system of oversight of the Medicaid program which effectively encourages:
 
  • Compliance;
  • Accountability;
  • Protection of public funds;
  • Awareness and responsibility;
  • Providers meeting participation requirements;
  • Services being medically necessary; and
  • Payments in the correct amount for covered services.  
 
The goal is to reduce and eliminate fraud, waste, and abuse in the Medicaid Program. 
 
The duties of Program Integrity include prevention; investigation; education; audit; recovery of improper payments, and cooperation with the Medicaid Fraud Control Unit (MFCU) and other federal/local law enforcement agencies.
 

Click here to report Fraud and Abuse or contact us at the address below: 

 
Department of Health Care Finance
Division of Program Integrity
Connect With Us
441 4th Street NW, Washington, DC 20001
Phone: (202) 698-2000
Fraud Hotline: 1-877-632-2873