Description of the fraudulent activity, who committed the fraud, when the fraud occurred and where the fraud took place.

Information of the individual entering the complaint. (You can remain anonymous.)

Information on an individual who has witnessed the fraud.

Attach a file(s) to the complaint for additional information.

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.