Medi-Cal Fraud and Abuse

Medi-Cal fraud is an intentional attempt by some Providers, and in some cases Recipients, to receive unauthorized payments or benefits from any Medi-Cal program, including the In-Home Supportive Services (IHSS) Program.  This fraud can take many forms, but the most common in the IHSS program involves Providers knowingly billing for unnecessary services or services not being performed.

The Department of Health Care Services (DHCS) asks that anyone who observes or has knowledge of suspicious health care activity to report it.

• Call the IHSS Medi-Cal Fraud Hotline at 1-800-822-6222 (caller may remain anonymous) or
• Send an email to Fraud@dhcs.ca.gov or
• Access the online complaint form

For more information about Medi-Cal fraud and abuse, visit the website: www.dhcs.ca.gov/individuals/Pages/StopMedi-CalFraud.aspx

• Medi-Cal Fraud and Abuse Handout 

Translations: Fraude y Abuso Medi-Cal (Spanish) | Medi-Cal 醫療欺詐和濫用 (Chinese) | Խարդախություններ և Չարաշահումներ Medi-Cal Ծրագրի Շրջանակում (Armenian)

• Tips for Avoiding Fraud Handout

Translations: Consejos para evitar el fraude (Spanish) | 防止欺詐的秘訣 (Chinese) | Խորհուրդներ Խախտումներից Խուսափելու համար (Armenian)