CALL TOLL FREE 1-866-428-0005 OR

SUBMIT AN  ONLINE COMPLAINT

Examples of Medicaid Fraud

• Billing for medical services not actually performed
• Providing unnecessary services
• Billing for more expensive services
• Billing for services separately that should legitimately be one billing
• Billing more than once for the same medical service
• Dispensing generic drugs but billing for brand-name drugs
• Giving or accepting something of value (cash, gifts, services) in return for medical services, (i. e., kickbacks)
• Falsifying cost reports
  
  Or When Someone:
  
• Lies about their eligibility
• Lies about their medical condition
• Forges prescriptions
• Sells their prescription drugs to others 
• Loans their Medicaid card to others
  
  Or When a Health Care Provider Falsely Charges For:
  
• Missed appointments
• Unnecessary medical tests
• Telephoned services

Who We Are

The Medicaid Integrity Program (MIP) audits and investigates providers and Medicaid beneficiaries suspected of misusing Michigan's Medicaid program. We recover overpayments, issue administrative sanctions and refer cases of suspected fraud for criminal investigation. MIP works to ensure that Medicaid money spent is used for the best care of the beneficiaries.

What is the Medicaid Integrity Program?

Ways to Contact the Medicaid Integrity Program
Office Hours: Monday - Friday, 8:00am to 5:00pm

Submit an Online Complaint Form

Phone: 1-866-428-0005 (voicemail available for after hours)

Send a letter to:
            Medicaid Integrity Program
            400 S. Pine St., 6th Floor
            Lansing, MI  48909

As much of the following information as you have is preferred when reporting suspected fraud or abuse:

• Nature of the complaint
• The names of those involved in the suspected fraud and/or abuse, including their address, phone number, Medicaid identification number, date of birth (for beneficiaries), and any other identifying information if available/applicable