Medicaid Fraud Notice
If you suspect a person who receives CHIP or Medicaid benefits or a Provider (doctor, dentist, counselor, etc.) has committed waste, abuse or fraud, you have a responsibility and a right to report it.
You can report any Providers or Members you suspect of waste, abuse, or fraud in several ways.
Directly to Community
You can report any Providers or Members you suspect of waste, abuse, or fraud directly to Community:
Community Health Choice, Inc.Vice President/Compliance 2636 South Loop West, Suite 900 Houston, TX 77054 1-877-888-0002
Get on the Internet
Or, if you can get on the Internet, go to http://www.hhsc.state.tx.us and select the “Reporting Waste, Abuse and Fraud” tab on the left side of the screen. The site tells you about the types of waste, abuse and fraud to report.
Talk to a person
If you cannot get onto the Internet and you would rather talk to a person, call the HHSC Office of Inspector General Fraud Hotline at 1-800-436-6184.
Send a note or letter
Also, you can send a note or letter to the following addresses:
To report Providers, use this address:Office of Inspector GeneralMedicaid Provider Integrity/Mail Code 1361P.O. Box 85200Austin, TX 78708-5200
To report clients (Members), use this address:Office of Inspector GeneralGeneral Investigations/Mail Code 1362P.O. Box 85200Austin, TX 78708-5200
When reporting a Provider (doctor, dentist, counselor, etc.), include:
When reporting about someone who receives benefits include: