Reporting Fraud or Abuse

Fraud can happen when people lie about the health care your child/youth have been receiving. Examples of fraud and program abuse include, but not limited to:

• Letting someone else use your child/youth’s identification card
• A doctor, nurse or other healthcare provider lies about what they did to help your child/youth
• The clinic has paperwork or documentation about you that is not true
• You receive a copy of your insurance billing and find a service listed that your child/youth did not receive

If you think somebody has lied and committed fraud or program abuse, you should report it. You can contact us, in writing or orally, at:

Office of Program Integrity (OPI)
Arizona Department of Health Services (ADHS) Fraud and Abuse Hotline
(602) 364-3758 or (866) 563-4927 toll free
reportfraud@azdhs.gov

The Online Reporting form is at:
www.azdhs.gov/bhs/provider/forms/pm7-1-1.pdf

You will not get into trouble for reporting fraud and program abuse. You also do not have to give your name. Any information reported will be kept confidential.