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Fraud and Abuse

Call our Fraud and Abuse Hotline at 1-855-412-8006 if you think that someone else is using your ID card to get benefits. You can also report if someone is using another member's ID card to get benefits. Your name will be kept private unless we are required to share that information.

You can report any doctor or hospital if you suspect fraud or abuse for services provided to anyone with a Medicaid card.

Fraud and Abuse Laws and Regulations - Fraud and Abuse Definitions

This form is to tell us of suspected waste, fraud or abuse of services paid for by West Virginia Family Healthcare.

Please fill in as much of the information as you can below and click the submit button.

About the suspected member or provider:

Tell us about the activity that may be waste, fraud or abuse. Give details that tell us who, what, when, where, why and how. Some examples are:

Billing for services you did not receive

Someone using your identity to receive medical services.

How can we contact you?

Please provide your contact information so we can contact you is we have questions. Your identity will be protected to the extent allowed. Thank you for helping Gateway Health's efforts to find waste, fraud and abuse.