This complaint form is to report fraud by Medicaid providers only (i.e. Transportation Companies, Durable Medical Equipment Companies, Hospitals, Doctors, Dentists, Pharmaceuticals Companies, etc.). If you would like to report Medicaid recipient fraud, please contact the Family and Social Services Administration at 800.446.1993. 
Please fill out the following form as completely and accurately as possible. The more detailed information you provide, the more efficient and effective our staff can be in their investigation of the incident reported.