Program Integrity: Potential Fraud, Waste or Abuse Referral

The DMH/DD/SAS Program Integrity (PI) Team investigates fraud, waste and abuse as well as complaints and concerns regarding publicly funded and supported services. You are encouraged to to make a report and may choose to remain anonymous. All complaints and referrals are kept confidential and are protected from disclosure. The DMH/DD/SAS will not reveal your identity to any person, except as required by law.

Examples of Fraud

• Billing services not provided
• Falsifying credentialing application
• Falsifying client records
• Kickbacks – the receipt of anything of value for the referral of consumers.

Examples of Waste

• Providing services not medically necessary.
• Failure to adhere to the requirements of the service definition.

Examples of Abuse

• Using treatments that are not evidence-based
• Using a higher cost treatment when a lower cost treatment could be equally effective
   

If there are questions and concerns or if you need assistance with this referral, please contact the DMH/DD/SAS Program Integrity (PI) Team at DMHmonitoring@dhhs.nc.gov.

Referrals can be submitted the following ways:

1. Electronically, by selecting the "Click to submit a referral electronically" button located below.
2. Mailing a completed referral form to:           
   Division of MH/DD/SAS
   ATTN:  Program Integrity
   3001 Service Center
   Raleigh, NC 27699-3001