Medicaid Provider Fraud

Medicaid Provider Fraud can take on a variety of appearances. From purely a fraud perspective, it can be described as any effort to defraud the Medicaid system by billing for services not delivered, or under delivered. It can also manifest itself in cases where physical abuse or neglect has occurred. This includes, but is not limited to, battery, sexual assault, and failure to deliver services or medications.

As of October 1, 2023, the Illinois Attorney General’s Office investigates Medicaid Fraud for the state of Illinois.

To Report Medicaid Provider Fraud, Abuse, or Neglect - Call (866)-748-2297

Helpful Medicaid Provider Fraud Links

• Illinois Senior Medicare Patrol (SMP)
• Healthcare and Family Services (HFS)
• If you suspect Medicaid or Welfare fraud (including Link Card, Illinois’ SNAP/Food Stamp program), please click on the following link to complete and submit the form found on the website or call the Medicaid/Welfare Fraud Hotline at 1-844-453-7283/1-844-ILFRAUD.
  
  • HFS-Office of Inspector General (OIG)
• HHS programs protect the health of all Americans and provide essential human services, especially for those who are least able to help themselves. Please click on the following link for a list of programs and services available.
  
  • U.S. Department of Health and Human Services (HHS)