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Medicaid Fraud Control Form

  • The Pennsylvania Attorney General’s Office Medicaid Fraud Control Section prosecutes those defrauding the Pennsylvania Medical Assistance (Medicaid) program through unlawful billing or failure to provide physical or behavioral health services to those whom the program serves. The Medicaid Fraud Control Section also prosecutes those who neglect Pennsylvanians most dependent on their care.

    Anyone can refer a case involving fraud or neglect to the Medicaid Fraud Control Section: managed care organizations, insurance companies, health care providers, and even concerned citizens provide essential information and investigative leads to the Medicaid Fraud Control Section. The team uses this information to protect Pennsylvanians by prosecuting illegally-prescribing doctors, fraudulent home health aides, and neglectful caretakers, among other criminals.

    If you have any information about illegal activity of this nature, please submit the referral form for the Medicaid Fraud Control Section. Once the form is complete you can email by clicking the button at the end. Your referral (including any supporting medical or financial information) will be securely encrypted through the Pennsylvania Office of Attorney General servers. Your referral will be emailed directly to our intake unit, who will begin working on the case immediately. If you prefer, you can print the form and fax it to the Medicaid Fraud Control Section (717-705-7246), or you can email the intake unit directly at mfcsintake@attorneygeneral.gov to provide facts about fraudulent and/or neglectful conduct. From the intake unit, your referral will make its way to the experienced agents and prosecutors from the Medicaid Fraud Control Section for proper investigation. 

    Medicaid Fraud Control Referral Form


    Contacts

    The Medicaid Fraud Control Section executive staff and intake team can be reached at the Pennsylvania Office of Attorney General Strawberry Square Headquarters in Harrisburg, PA, at (717) 783-1481. 

    The Medicaid Fraud Control Section also has three regional field offices throughout the Commonwealth: the Western Regional Office, the Central Regional Office, and the Eastern Regional Office. If you need to contact a specific region within the Medicaid Fraud Control Section, please use the following contact information: 

    • Western Regional Office:
      10950 Route 30, North Huntingdon, PA 15642; (724) 861-3670
    • Central Regional Office:
      106 Lowther Street, Lemoyne, PA 17043; (717) 712-1220
    • Eastern Regional Office:
      1000 Madison Avenue, Suite 310, Norristown, PA 19403; (610) 631-5920