Review the information which identifies the different kinds of fraud or patient abuse/neglect investigated by the Attorney General's Health Care Fraud Division. If you suspect either Medicaid provider fraud or resident abuse/neglect in any “board & care” facility, fill out the appropriate complaint form, fraud or patient abuse, and electronically submit the form to the Health Care Fraud Division.
To complete a complaint form:
Attach your name and/or the Complaint Identification Number issued to you when your complaint is accepted with all the documents you send to us.
Unfortunately, our office cannot work on a case with only the provider's name. Specific facts as to the alleged fraud are necessary as well as the identity and addresses of other individuals who may have information. We need your input. The ability to contact you is also important, as our investigators may have questions.
Once we receive your complaint, it will be reviewed by a criminal investigator. Files will be requested from the Medical Services Administration or the Department of Community Health. The information will be evaluated. Your complaint will become an open and active case, or it will be closed due to insufficient evidence, or because no crime was committed. Whether a prosecution takes place or not, you will be notified when the complaint is closed.
If you have any problems getting the completed form recorded, try touching the rest button on the complaint form, or refresh on the browser. (Your information will be erased from the form, and will need to be re-entered).
Refer to specific reminders associated with each complaint form for further information on completing the complaint form.