Maryland Medicaid: Preventing health care fraud and abuse
We’re committed to working with health care providers in our network to keep health care free of fraud and abuse. Together, we can help prevent payment of fraudulent claims and detect, investigate, report and recover false claims.
Part of our shared responsibility is to report suspected fraud and abuse to law enforcement and regulatory and administrative agencies. If you suspect fraud or abuse, please contact us immediately. All reports are confidential and can be made anonymously.
Examples of fraud and abuse by health care providers:
Billing for services or medications not actually performed or obtained
Billing for excessive or unnecessary medical services or supplies
Examples of health care fraud and abuse by members:
Providing false information or hiding facts for the purpose of obtaining coverage
Letting someone else borrow a member ID card
Selling or giving prescription medications to anyone else
Reporting fraud, waste or abuse
You can report suspected fraud, waste and abuse by contacting the following: