Inspector General - Report Waste, Abuse & Fraud

Inspector General - Report Waste, Abuse & Fraud

	Welcome - On the following pages you will be asked to enter: Part 1 Your complaint - Description of the fraudulent activity, who committed the fraud, when the fraud occurred and where the fraud took place. Description of the fraudulent activity, who committed the fraud, when the fraud occurred and where the fraud took place. Your Information - Information of the individual entering the complaint. (You can remain anonymous.) Information of the individual entering the complaint. (You can remain anonymous.) Witness Information - Information on an individual who has witnessed the fraud. Information on an individual who has witnessed the fraud. Part 2 Attachments - Attach a file(s) to the referral for additional information. Attach a file(s) to the referral for additional information. Part 3 Who are you reporting? Recipient - A person receiving benefits from the State of Texas. For example, someone covered by Medicaid. Provider - A person or an organization which bills the State for providing benefits or services to a recipient. For example, a Dentist. State Employee/Contractor - Employee misconduct involving potential legal violations against HHS system resources - Waste, abuse and fraud involving HHS system contractors and sub-contractor - Retaliation against employees under the Whistleblower Act - Fraud involving workers' compensation claimants and medical providers - Other activities with a potentially negative impact on the integrity of system resources, reputation, and employees. WIC Vendor - WIC (Contactors/Local Agency) & WIC (Grocers/Vendors) should be referred if there is suspicion of waste, abuse and fraud related to their participation or administration of the Women, Infants and Children (WIC) program. State Supported Living Centers - Alleged abuse, neglect, and exploitation at State Supported Living Centers.
	For security reasons, 20 minutes of inactivity will timeout the session. This site requires JavaScript and Popups to be enabled in your browser. When you finish submitting your report, you will get a number. You will need this number to contact the Inspector General(IG) for submitting additional information about your complaint. Note the IG is NOT permitted to give updates on open cases.
	Recipient waste, abuse and fraud includes: General Investigations involves suspicion of waste, abuse and fraud in food stamps, Medicaid and TANF-cash assistance programs, (e.g., knowingly misstating or concealing information in order to receive more benefits.) Limited Program includes abuse and overuse of Medicaid health benefits. WIC Investigations occur when false reporting of income, household number, residency and/or abuse and trafficking of benefits is suspected. Provider waste, abuse and fraud includes: Medicaid Provider Integrity (Provider Investigations) involves waste, abuse and fraud in the Medicaid or Children's Health Insurance Program (CHIP), including billing for services not provided or not medically necessary. Audit (Contractor and Vendor) reviews contracts and grants for potential waste, abuse or fraud (e.g., services not provided, unallowable expenditures, etc.) WIC (Contactors/Local Agency) & WIC (Grocers/Vendors) should be referred if there is suspicion of waste, abuse and fraud related to their participation or administration of the Women, Infants and Children (WIC) program. State Employee/Contractor Employee misconduct involving potential legal violations against HHS system resources Waste, abuse and fraud involving HHS system contractors and sub-contractor Retaliation against employees under the Whistleblower Act Fraud involving workers' compensation claimants and medical providers Other activities with a potentially negative impact on the integrity of system resources, reputation, and employees. For more information please visit Internal Affairs. WIC Vendor Monitoring WIC (Contactors/Local Agency) & WIC (Grocers/Vendors) should be referred if there is suspicion of waste, abuse and fraud related to their participation or administration of the Women, Infants and Children (WIC) program. State Supported Living Centers Alleged abuse, neglect, and exploitation at State Supported Living Centers. For more information please visit Internal Affairs.

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