Report Fraud, Waste and Abuse

Understanding the terms:

• Fraud: Intentional deception or misrepresentation to obtain the money or property of a health care benefit program (by means of false or fraudulent pretenses, representations, or promises).
• Waste: The over-utilization of services or other practices that result in unnecessary costs.
• Abuse: Obtaining payment for items or services when there is no legal entitlement to that payment, but without knowing and/or intentional misrepresentation of facts to obtain payments.

What can you do to help prevent, report, and stop Fraud, Waste, and Abuse?

Report potential fraud:

Contact Buckeye

• Call Buckeye Health Plan Member Services at 1-866-246-4358 (TDD/TTY: 1-800-750-0750).
• Buckeye Health Plan
  Compliance Department
  4349 Easton Way, Suite 400
  Columbus, OH 43219

Medicare Fraud Hotline of the HHS office Inspector General

• 1-800-447-8477

HHSC/OIG Inspector General

• 1-800-436-6184
• http://oig.hhs.gov/fraud/report-fraud/index.asp
• Email: HHSTips@oig.hhs.gov.

Office of the Attorney General

• 1-800-282-0515
• http://www.ohioattorneygeneral.gov/FAQ/Health-Care-Fraud-FAQs 

Ohio Department of Medicaid

• 1-614-728-7741 or 1-800-627-8133
• http://jfs.ohio.gov/Ohp/providers/OHPFruad.stm