Report Medicaid Fraud and Abuse

 

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

SUBMIT AN  ONLINE COMPLAINT or

WRITE to the Inspector General

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