State Program Integrity Support & Assistance
The Centers for Medicare & Medicaid Services (CMS) is committed to fighting fraud and abuse, which divert dollars that could otherwise be spent to safeguard the health and welfare of Medicaid clients. Medicaid is the largest source of funding for medical and health-related services for people with limited income. CMS' Medicaid Integrity Program, implemented February 8, 2006 by Deficit Reduction Act of 2005, strengthened state and Federal collaborative relationships to ensure the integrity of the Medicaid program.
Although states are primarily responsible for policing fraud in the Medicaid program, CMS provides technical assistance, guidance and oversight in these efforts. Fraud schemes often cross state lines, and CMS strives to improve information sharing among the Medicaid programs and other stakeholders.
The links, on the left-hand navigation bar, will provide you with technical assistance and guidance to support you in your ongoing effort to fight against fraud and abuse.
Two options are provided for obtaining contact information to report fraud and abuse. One option is the State Fraud and Abuse Contact Report (click on "Related Links Inside CMS" below) which provides contact information for both the State Medicaid Agencies and the Medicaid Fraud Control Units.
The other option is the State Contacts link (click on "Related Links Inside CMS" below), which connects to the CMS Contacts Database, however it only provides contact information for State Medicaid Agencies. After clicking on State Contacts, choose the respective State/Territory. For Contact Type, choose "General Professional Contact," and for Organization Type, choose "Medicaid - Report Fraud." Then, click on the "Show Contacts" button.
Additional assistance can be found at the related links below: Medicare Fraud – How to Report and the HHS Office of Inspector General (OIG) - Fraud Web site.