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Department of Health Care Finance - DHCF
 

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Public Notice: Due to the MMIS conversion the last provider payment from Conduent was issued on February 27. There will be no payment issued on March 6, and the first post‑conversion payment will be issued on March 13. For more information visit https://medicaid.dc.gov/

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Mission Statement- Division of Program Integrity (DPI)

COVID-19 Medicaid Beneficiary Fraud Information

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