Medicaid Provider Fraud
Medicaid provider fraud investigations and patient abuse and neglect investigations across the State of Wisconsin are conducted by attorneys and staff at the Wisconsin Department of Justice (DOJ). Attorneys and staff at DOJ work cooperatively with district attorneys, county sheriffs, and other law enforcement agencies to investigate and prosecute criminal violations of:
- Medicaid provider fraud;
- abuse, neglect, and financial misappropriation from patients or residents residing in Medicaid funded facilities;
- violations of criminal laws affecting the Medicaid program, including laws relating to fraud and the health, safety, and welfare of Medicaid recipients; and
- abuse and neglect of residents in board and care facilities such as nursing homes, community based residential facilities, and adult family homes.
Identity Theft
Medicaid fraud harms the intended recipient financially and personally, and it can occur when a person’s identity is stolen. With this information, they can fraudulently claim goods and services. To prevent Medicaid fraud from being perpetrated against you, carefully monitor your medical or billing records to make sure they are correct. If you notice a discrepancy, contact your medical provider.
Attorney General Kaul requests the assistance of all Wisconsin citizens in fighting health care fraud and patient abuse. Please use the statewide hotline number
1-800-488-3780 to report Medicaid fraud or elder abuse.