How to Report Suspected Fraud

Reporting Suspected Provider Fraud

When reporting a situation that you believe may involve fraud in the Health First Colorado (Colorado’s Medicaid Program) or the Colorado Child Health Plan Plus (CHP+) programs, please include the following information:

  • Name of person or entity you suspect may be committing fraud, waste or abuse.
  • Address and/or telephone number of that person or entity, if you have it.
  • Why you think that person or entity is involved in fraud, waste or abuse. 
  • Your name, phone number and email address.  You can submit a report without giving your name; however, this may prevent a comprehensive review of the report.  We encourage you to provide information on how to contact you for additional information. You may also mail additional information to the address below.

Please do not report potential fraud that is not related to Health First Colorado or CHP+ to our Department.

This form can help you make your report.  You may report fraud, waste or abuse without using the form, if you prefer. If you use the form, please send it to us by email, fax or mail.

To report provider fraud in Colorado, you may contact us using one of the options below:

  • Call us toll free at 855-375-2500
  • Send an email to ReportProviderFraud@hcpf.state.co.us
  • Send a fax to 303-866-4411, or
  • Mail information to:
    Department of Health Care Policy & Financing
    Attn:  Program Integrity Section
    1570 Grant Street
    Denver, CO 80203

Reporting Suspected Member Fraud

To report suspected Health First Colorado or Colorado CHP+ member fraud, waste, or abuse please include the following information:

  • Name of person you suspect may be committing fraud, waste, or abuse
  • Address and/or telephone number of that person, if you have it
  • Why you think that person is involved in fraud, waste or abuse
  • Your name, phone number, and email address

You can submit a report without giving your name; however, this may prevent a comprehensive review of the report.  We encourage you to provide information on how to contact you for additional information. You may also mail additional information to the address below.

Choose one of the following methods to submit the information: