If you think you know of someone who is abusing the Medicaid program, please report it.
Call the Hotline at 1-888-364-3224.
The Bureau of Compliance and Performance Review compiles a list of individuals and entities that have been excluded by the federal government and/or the State of South Carolina. Anyone appearing on the following lists should not submit claims for Medicaid reimbursement and should not be affiliated with any organization or facility that participates in the Medicaid program. In addition, providers cannot bill for any medicines, medical supplies or medical equipment that is prescribed or authorized by an excluded provider on behalf of a Medicaid beneficiary.
LEARN MORE ABOUT FRAUD, WASTE AND ABUSE
The Centers for Medicare & Medicaid Services (CMS) and SCDHHS wants everyone to join in the fight against fraud, waste, and abuse. Healthcare providers, managed care plans, and individuals and families with Medicaid benefits are encouraged to use the education and training materials on the Medicaid Program Integrity website. Available resources include print and electronic media, toolkits, train-the-trainer guides, webinars, videos, and other innovative strategies. To learn more visit the CMS website