How to Report Suspected Fraud

Reporting Suspected Fraud

When reporting a situation that you believe may involve Provider OR Member 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.

How do I report suspected Provider Fraud?

  • 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.
  • Call us toll free at 855-375-2500 (for State Relay, call 711)
  • 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

How do I report suspected Member Fraud?