Report Fraud, Waste, and Abuse

Make a report if you suspect that someone is committing Medicaid/CHIP fraud. Some examples of fraud include (not limited to):

• A person does not report all income or other health insurance when they apply for Medicaid/CHIP.

• A person uses another member's card with or without the member's permission.

• A doctor or a clinic bills for services that were not provided or were not medically necessary.

You can report suspected fraud and abuse in any of the following ways:

• To report provider fraud, email the Office of Inspector General (OIG) at mpi@utah.gov or call the toll-free hotline at 1-855-403-7283.

• To report member fraud, email the Department of Workforce Services Fraud Hotline at wsinv@utah.gov or call toll-free at 1-800-955-2210.

• Call the MCNA Fraud Hotline at 1-855-392-6262.

You can find more information about Fraud, Waste, and Abuse in your Member Handbook.