TMPPM 2009 > Provider Information > Provider Enrollment and Responsibilities > Medicare/Medicaid Waste, Abuse, and Fraud Policy

1.5.1 Reporting Waste, Abuse, and Fraud

Individuals with knowledge about suspected Medicaid waste, abuse, or fraud of provider services must report the information to the HHSC OIG. To report waste, abuse, or fraud, go to www.hhsc.state.tx.us and select Reporting Waste, Abuse, and Fraud. Individuals may also call the OIG hotline at 1-800-436-6184 to report waste, abuse, or fraud if they do not have access to the internet. All information provided is protected by the HHSC/OIG privacy statement. This means that the information provided will remain confidential.

Providers may voluntarily investigate and report matters involving possible fraud, waste, abuse, or inappropriate payments of Medicaid funds in their own office. Providers are required to report these activities to HHSC/OIG when identified. It is the intention of HHSC/OIG to endeavor to work collaboratively, and not adversarially, with providers who choose to self-report. To get additional information on self-reporting and to determine how to self-report, see the website http:oig.hhsc.state.tx.us/ProviderSelfReporting/Self_Reporting.aspx.