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Report Medicaid Fraud and Abuse

 fraud card

 STOP MEDICAID FRAUD! 

CALL TOLL FREE 1-855-MI-FRAUD (643-7283) or

SUBMIT AN  ONLINE COMPLAINT or

WRITE to the Inspector General

Healthcare fraud and abuse affects all of us. Healthcare fraud significantly impacts the Medicaid program by using up valuable public funds needed to help vulnerable children and adults access health care.  Everyone can take responsibility by reporting fraud and abuse.  Together we can make sure taxpayer money is used for people who really need help.   

Examples of Medicaid Fraud 

  • Billing for medical services not actually performed 
  • Providing unnecessary services 
  • Billing for more expensive services 
  • Billing for services separately that should legitimately be one billing 
  • Billing more than once for the same medical service 
  • Dispensing generic drugs but billing for brand-name drugs 
  • Giving or accepting something of value (cash, gifts, services) in return for medical services, (i. e., kickbacks) 
  • Falsifying cost reports 

    Or When Someone:
  • Lies about their eligibility 
  • Lies about their medical condition 
  • Forges prescriptions 
  • Sells their prescription drugs to others 
  • Loans their Medicaid card to others

    Or When a Health Care Provider Falsely Charges For:
  • Missed appointments 
  • Unnecessary medical tests 
  • Telephoned services 

Who We Are 

The Office of Inspector General (OIG) audits and investigates suspected misuse of Michigan's Medicaid program. We recover overpayments, issue administrative sanctions, and refer cases of suspected fraud for criminal investigation and prosecution. The OIG works to ensure that Medicaid money spent is used for the best care of the beneficiaries. 

What is the Office of Inspector General? 


Ways to Contact the Office of Inspector General
 
Office Hours: Monday - Friday, 8:00am to 5:00pm 

Submit an Online Complaint Form 

Phone: 1-855-MI-FRAUD (643-7283) (voicemail available for after hours)

Send a letter to:
           
 Office of Inspector General
            PO Box 30479
            Lansing, MI  48909
 

The following information is preferred when reporting suspected fraud or abuse: 

  • Nature of the complaint 
  • The names of those involved in the suspected fraud and/or abuse, including their address, phone number, Medicaid identification number, date of birth (for beneficiaries), and any other identifying information if available/applicable 

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