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    MEDICAID FRAUD & ABUSE

    ​MA Provider Compliance Hotline

    If you suspect fraudulent and abusive practices by providers in fee for service and managed care within the Pennsylvania MA Program, call the MA Provider Compliance Hotline at 1-866-379-8477.

    Call the MA Provider Compliance Hotline

    The MA Provider Compliance Hotline, established by and located in the DHS Bureau of Program Integrity, is designed to provide easy access for reporting suspected fraudulent and abusive practices by providers in fee for service and managed care within the Pennsylvania MA Program. Non-English speaking interpreter services are available to provide assistance to callers and TTY services for persons with hearing impairment are also available.

    • Callers to the Hotline are not required to identify themselves.
    • If a caller does not wish to speak to a Hotline representative directly, please leave a message outside the hours of operation.
    • You may report suspected fraudulent and abusive practices through this Web site without disclosing your identity by completing and submitting the response form which follows.

     

    What do I need when I call?

    • Provider's name and address
    • Description of the suspected fraudulent and abusive activity, including the time period, frequency of the events, recipient name, and recipient ID number
    • Telephone number where you can be reached, in the event that you want to be contacted

    How Do I Contact the Hotline?

    If you have knowledge of suspected MA provider noncompliance, or of substandard quality of care for services paid for under the Pennsylvania Medical Assistance Program, please contact the MA Provider Compliance Hotline by:

    Online Medicaid Provider Compliance Response Form
    • Telephone (includes TTY): 1-866-379-8477
    • Fax: 717-772-4655
    • Mailing Address:
      Bureau of Program Integrity
      MA Provider Compliance Hotline
      P.O. Box 2675
      Harrisburg, PA 17105-2675