Driscoll Health Plan (DHP) is committed to finding and appropriately reporting when Medicaid and Children’s Health Insurance Program (CHIP) dollars are used in instances of fraud, waste or abuse.
Let us know if you feel that a doctor, dentist, pharmacist or other healthcare provider, or someone receiving Medicaid or CHIP benefits through DHP, is doing something wrong. They may be committing fraud, waste or abuse.
Fraud is when a person is knowingly dishonest, and that action could result in unauthorized Medicaid or CHIP benefits to himself, herself or another person.
Waste involves spending Medicaid or CHIP dollars on resources, items or services that are not needed.
Abuse involves healthcare provider practices that are not consistent with accepted medical or business practices, or questionable practices by someone receiving Medicaid or CHIP benefits that result in cost to the government that are not needed.
The following are some examples of incidents of potential fraud, waste or abuse that should be reported.
You can make a report by contacting DHP directly or by contacting the Office of Inspector General (OIG) and/or the Office of Attorney General (OAG).