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/About-AG/Organizational-Structure/Health-Care-Fraud/Report-Medicaid-Fraud

Ohio Department of Medicaid

1-614-728-7741 or 1-800-627-8133

http://jfs.ohio.gov/Ohp/providers/OHPFruad.stm