Fraud & Abuse

If you suspect a client (a person who receives benefits) or a provider (e.g., doctor, dentist, counselor, etc.) has committed fraud, waste,  or abuse, you have a responsibility and a right to report it.

Fill out our online form or paper fraud, waste, or abuse form and submit it to us directly by:

• Mail: Parkland Community Health Plan
  Attn: Special Investigations Unit
  P.O. Box 560307
  Dallas, TX 75356
• Phone: 1-800-403-2498
  Available 24 hours a day, 7 days a week.
• Email: PCHPSIU@phhs.org

You can contact the Office of Inspector General (OIG) directly. Submit an online report to HHSC OIG by selecting "Reporting Waste, Abuse and Fraud," call their Fraud Hotline at 1-800-436-6184, or send a written statement to the following:

To report providers, use this address:

Office of Inspector General
Medicaid Provider Integrity/Mail Code 1361
P.O. Box 85200
Austin, TX 78708-5200

When reporting a provider (e.g., doctor, dentist, counselor, etc.) provide the following:

• Name, address, and phone number of provider or facility (hospital, nursing home, home health agency, etc.);
• Medicaid number of the provider and facility is helpful;
• Type of provider (physician, physical therapist, pharmacist, etc.);
• Names and the number of other witnesses who can aide in the investigation;
• Dates of events; and
• Summary of what happened.

To report clients, use this address:

Office of Inspector General
General Investigations/Mail Code 1362
P.O. Box 85200
Austin, TX 78708-5200