Tenncare fraud hotline 2026

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  1. Click ‘Get Form’ to open the tenncare fraud hotline document in the editor.
  2. Begin by entering the recipient's Social Security Number in the designated field. This information is crucial for identifying the case.
  3. Fill in the recipient's name and any other names they may have used. Ensure accuracy to avoid confusion during processing.
  4. Provide the recipient's street address, city, state, and zip code. If there are other addresses used, include those as well.
  5. Enter both home and work telephone numbers for the recipient. This will help facilitate communication if further information is needed.
  6. Complete the employer's details, including name, address, and telephone number. This information can be vital for investigations.
  7. In the description fields, clearly outline your complaint and detail any events that led you to believe there was a problem.
  8. Indicate whether you have notified the Managed Care Organization about this issue and provide details of who else has been informed.
  9. Optionally, fill in your contact information if you wish to be reached regarding your complaint. Remember that anonymity is not possible for reward eligibility.

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Examples of cases that the Office of Inspector General investigates include unreported income or insurance, TennCare/Cover TN recipients living out of state, drug seeking behavior, incarceration, individuals receiving bills (or EOB statements) for services never provided, provider billing irregularities, over or under
Contact Details Organization Type:State Medical Assistance Office Covered States and Territories: Tennessee Information: Toll Free: (800) 342-3145 Spanish: (866) 311-4290 Fax: (615) 532-7322 Web Site: Hours: 7:00am - 6:00 pm2 more rows
As the lead agency investigating corporate fraud, the FBI focuses its efforts on cases that involve accounting schemes and self-dealing by corporate executives, as well as obstruction of justice (activities designed to conceal this type of criminal conduct).
Most monetary loss from fraud is by providers. There are no reliable measures of fraud against Medicaid. DOJ and HHS-OIG operate a Health Care Fraud and Abuse Control (HCFAC) program, designed to coordinate federal, state, and local health care fraud and abuse law enforcement activities.
Does the Office of Inspector General handle all TennCare fraud? No, The Office of Inspector General deals specifically with TennCare recipient fraud. The Tennessee Bureau of Investigations Medicaid Fraud Control Unit investigates TennCare provider fraud and patient abuse.
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If you suspect fraud is being committed by someone who receives TennCare benefits, you may report your concerns to the Office of Inspector General in one of the following ways: Call the Toll-Free Hotline 1-800-433-3982 or 615-687-7200. Report On Line (TennCare Member Fraud) Email TennCare.Fraud@tn.gov.
Toll-Free Hotline: 1-800-433-5454. E-mail: TBI.MedicaidFraudTips@tbi.tn.gov. Mail: Tennessee Bureau of Investigation, Medicaid Control Fraud Division, 901 R. S. Gass Blvd., Nashville, TN 37216.

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