Report Fraud

You can help protect public assistance resources for those who need it by reporting suspected fraud or abuse of public assistance programs like Medicaid, SNAP, and others.

Public assistance programs are critical lifelines that provide access to essential needs for millions of Pennsylvanians.

The Department of Human Services works in collaboration with the Office of State Inspector General to identify and investigate potential fraud and abuse of public assistance programs so they’re protected for those who need them most.

Anyone who suspects potential fraud or abuse of programs like Medicaid, the Supplemental Nutrition Assistance Program (SNAP), cash assistance, or other benefits programs should call the Fraud Tip Hotline at 1-844-DHS-TIPS (1-844-347-8477). 

Stay safe and stay aware!

Scams targeting Benefit Recipients

Scammers may try to steal your personal information or benefits so stay informed and protect yourself from scams targeting DHS benefit recipients in Pennsylvania. See the list of current scams, learn how to recognize them, and find out what to do if you think you’ve been targeted. 

Medicaid Fraud Related Information

While most Medicaid providers and recipients follow the rules, some engage in fraudulent practices that misuse funds meant for those in need. Below are links to pages to learn more about how to spot and report Medicaid fraud.

Privacy Policy

The Office of Administration's Bureau of Program Integrity (BPI) requires that all employees maintain strict confidentiality concerning the facts of the cases to which they are assigned. No information obtained in the course of conducting reviews may be used for purposes other than the official administration of the Medical Assistance (MA) Program. The overall guiding principle is to provide for the minimum necessary use and disclosure of protected health information required to accomplish the objectives of BPI.

Medical records and claims information are used to determine the necessity, quality and appropriateness of services billed, the accuracy of the coding/billing, resolution of patient complaints, recipient restriction, and for evaluation of the MA Program.

Information may be provided for purposes of treatment, payment, and health care operations. Assisting in investigations, prosecutions, and civil or criminal proceedings related to the administration of the MA Program are all considered health care operations for which necessary disclosure is appropriate. The medical assistance application signed by recipients includes an authorization for release of personal, financial, and medical information for the purpose of determining eligibility and for review of the MA Program.

BPI closely monitors the disclosures of personal health information. Any information shared by BPI with other government agencies/medical professionals/contracted associates must be subject to the same applicable rules and regulations regarding protected health information.