Medicaid Fraud Reporting

The Attorney General’s Office wants to investigate Medicaid fraud and abuse and neglect of nursing home residents. Please fill out this form so that we can best look into your issue. All complaints are confidential.

Medicaid Fraud Reporting

All complaints are confidential
Date*
MM slash DD slash YYYY
Email*
Name of Medicaid provider that is the subject of your complaint*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone number of that provider
Details of your complaint*
Date or timeframe when event occurred*
Medicaid recipient or nursing home residents affected by this action
Name(s)
Where they live
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
In case we have any questions
Your Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Your phone number
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Medicaid Fraud Reporting

Medicaid Fraud Reporting

All complaints are confidential

Medicaid recipient or nursing home residents affected by this action

Where they live

In case we have any questions

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