Search Frequenty Asked Questions

Before you get in touch with your state Medicaid contact or call the National Fraud Hotline, please be ready to provide as much information as possible, including:

• The name of the Medicaid client
• The client’s Medicaid card number
• The name of the doctor, hospital, or other health care provider
• The date of service
• The amount of money that Medicaid approved and/or paid
• A description of the acts that you suspect involve fraud or abuse

1. Contact Your State Directly - Medicaid is a joint Federal and State-funded program. Although the Federal Government requires that certain persons be eligible for Medicaid benefits and sets standards for quality of care, the States carry out most of the day-to-day business of Medicaid. If you suspect that fraud is being committed against Medicaid, your first contact should be the Program Integrity contact in the agency that oversees your State’s Medicaid program, which is usually called the State Medicaid Agency. Our list of State Medicaid Contacts has the names of the Program Integrity contact that you should use to report suspected fraud, whether it involves a person, a company, or an agency.
   
   
2. Call the OIG National Fraud Hotline - A second way to report suspected fraud in Medicaid is to call the Office of Inspector General’s (OIG) National Fraud Hotline. This hotline handles calls about both Medicaid and Medicare, but it is not as direct as calling your State contact.