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NC Department of Health and Human Services
NC Division of
Medical Assistance
 
 

Reporting Medicaid Fraud and Abuse

The Division of Medical Assistance, Program Integrity (PI) section is devoted to ensuring that Medicaid payments are accurate and that fraud, waste or program abuse are identified and reported.

To report suspected Medicaid fraud, waste or program abuse, you may contact the North Carolina Division of Medical Assistance, by calling the DHHS Customer Service Center at 1-800-662-7030 (English or Spanish) and ask for the DMA Program Integrity Section.

Or you may submit an Online Confidential Complaint Form.

You are encouraged to report matters involving Medicaid fraud and program abuse. If you want to report fraud or program abuse, you may remain anonymous. All complaints of misconduct are kept confidential and are protected from disclosure according to the North Carolina State Administrative Procedure Act, Sections 10A NCAC 21A.0403.  Program Integrity will not reveal the identity of the complainant to any person, except as required by law.

 

July 12, 2011