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:

• Call the Texas OIG Hotline at 1-800-436-6184.

• Visit the Texas OIG website at https://oig.hhsc.texas.gov/report-fraud

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

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