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Health Care Fraud Division

Patient Rights And Responsibilities In Michigan Licensed Facilities

Partial list as provided by statute, MCLA 333.20201; MSA 14.15(20201)

  1. A patient or resident shall not be denied appropriate care on the basis of race, religion, national origin, sex, age, handicap, marital status, sexual preference, or source of payment.


  2. An individual may obtain or inspect his/her medical records and a third party shall not be given a copy without authorization of the patient except as required by law and third party contract.


  3. A patient or resident is entitled to privacy, to the extent feasible, in treatment and caring for personal needs with consideration, respect, and full recognition of his/her dignity and individuality.


  4. A patient or resident is entitled to adequate and appropriate care and to receive information about his/her-medical condition unless medically contraindicated by the physician in the medical record.


  5. A patient or resident is entitled to receive and examine an explanation of his/her bill. Also, he/she is entitled to know who is responsible for his/her care.


  6. A patient or resident is entitled to associate and have private communication with his/her physician, attorney or any other person, and to receive personal mail unopened, unless medically contraindicated. A patient's or resident's civil and religious liberties shall not be infringed and the facility shall encourage and assist in the exercise of these rights.


  7. A patient or resident is entitled to be free from MENTAL and PHYSICAL ABUSE and from physical and chemical restraints, except those necessitated by an emergency to protect the patient and/or others.


  8. A patient or resident is entitled to retain and use personal clothing and possessions as space permits. At the request of a patient, a nursing home shall provide for safekeeping of personal property, funds, and other property, except that a nursing home shall not be required to provide for the safekeeping of property which would impose an unreasonable burden on the nursing home.


  9. Each patient shall be provided with meals which meet the recommended dietary allowances for the patient's age and sex and may be modified according to special dietary needs.


  10. A health care facility, its owner, administrator, employee, or representative shall not discharge, harass, retaliate or discriminate against a patient because a patient has exercised rights protected by law.


  11. A patient or resident is entitled to adequate and appropriate pain and symptom management as a basic and essential element of his or her medical treatment.


What Does Medicare/Medicaid                  Fraud Look Like?

  • Bill for services not provided, i.e. a chest x-ray when an x-ray was not taken;
  • Duplicate Billing occurs when a provider bills Medicaid and the recipient or private insurance for the same service;
  • Requires that the patient come back each week for the same problem or to get the same prescription when another appointment is not necessary, or a normal amount of medication could be prescribed;
  • Upcode, i.e. identify a simple office visit as an emergency office visit or a comprehensive visit; or
  • Take unnecessary x-rays, blood work or perform other unnecessary services.

Medicaid Fraud Complaint Form

Recipients Of Medical Services                  Should Remember

  • When a professional service is used;
  • Where the service takes place;
  • Who takes care of you;
  • What scheduled services are provided during the visit; and
  • What additional non-scheduled services are provided.

If you suspect fraud, please call the Health Care Fraud Division Hotline: 800-24-ABUSE or (800-242-2873), to report your concern.

Patient Abuse Complaint Form

Additional Resources

Department of      Attorney General    Health Care Fraud Division

P.O. Box 30218
Lansing, MI 48909
Phone: 24-hour Hotline:
800-24-ABUSE or (800-242-2873)
Fax: 517-241-6515 or 517-241-6545
(during business hours)

Email the Health Care Fraud Division

Patient Abuse Complaint Form

Medicaid Recipient Fraud

Department of Health and Human Services
Office of Inspector General (OIG)

Report Welfare Fraud

Medicaid General Information and Helpline:
Phone: 800-642-3195

Medicaid Card Information: Call Your Caseworker. 

Medicaid Fraud Complaint Form

Center For Medicare & Medicaid Services (CMS)

Federal OIG Fraud and Abuse Information
P.O. Box 23489
Washington, DC 20026
Phone: HHS/OIG Hotline:
800-HHS-TIPS or (800-447-8477)

Email the CMS

Social Security Administration

Office of Public Inquiries
1100 West High Rise
6401 Security Blvd.
Baltimore, MD 21235
Phone: 800-772-1213
TTY: 800-325-0778

Email the Social Security Administration