Report Suspected Provider Fraud, Waste and/or Abuse

Please answer the questions below to the best of your ability.

Part 1 – Your information. Please tell us how we can reach you in case we need more information.

Part 2 – What do you want to report?

Part 3 – Provider Information. Tell us about the provider(s) committing potential fraud, waste and/or abuse.

Part 4 - The Client affected by the suspected fraud/waste and/or abuse.

READ THE STATEMENT BELOW BEFORE SUBMITTING THE REPORT!

By pressing the “Submit Now” button, I acknowledge that the information I am submitting is accurate and complete to the best of my knowledge. 
Follow the instructions below and press the “Submit report now” button, if you agree with the statement.