Medicaid Fraud Report

Please give us as much information as possible. If you don’t hear from us in five days, give us a call at (208) 334–4100.

Every allegation will be assigned a tracking number to be used as a reference for all future communications. We must be able to contact you in case we need more information.

This online form requests the necessary information for investigating and potentially prosecuting your allegation. We need as much information as you can provide regarding the "who, what, when, where and how" of the related incident. Please tell us as much as you know.

Pursuant to Idaho's Public Records Law, any complaint form or associated documents might become public record when submitted to this office.

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Fields marked with an asterisk (*) are required.

Your Information
First Name:*
Middle Name:
Last Name:*
Telephone Number: example: 999-999-9999
E-mail:*

 

Information about Provider or Person Committing Fraud or Abuse
Name:*
Address:
City:
State:
Zip Code:
Telephone Number: example: 999-999-9999

 

Victim and Other Information
Victim Name:
Occurrence Date(s):

 

Please list specific details below:*

 

Do you have additional documents for information?*

 

Any additional documentation should be sent to:

Medicaid Fraud Control Unit
Office of the Attorney General
700 W State Street, 4th Floor
P.O. Box 83720

Or you may fax it to: (208) 854–8082

Or e-mail it to the Medicaid Fraud Control Unit

 

 

File a report with the Medicaid Fraud Unit
Definitions of Medicaid Fraud Resources for Senior Citizens