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Reporting Fraud, Waste and Abuse

Peach State Health Plan is serious about finding and reporting times that Georgia Medicaid funds are used in the wrong way. This is called waste, fraud or abuse.

To report waste, abuse, or fraud, gather as much information as you can.

When reporting about a provider (a doctor, dentist, counselor, etc.) include: 

  • Name, address, and phone number of provider
  • Medicaid number of the provider and facility, if you have it
  • Tell us what kind of provider they are (a doctor, dentist, therapist, etc.)
  • Names and phone numbers of other witnesses
  • Dates of events 
  • Details of what happened

When reporting about someone who gets benefits, include: 

  • The person’s name
  • The person’s date of birth, Social Security Number, or case number if you have it 
  • The city where the person lives 
  • Details about the waste, abuse, or fraud