(APD logo) Agency for Persons with Disabilities State of Florida FIGHT MEDICAID FRAUD Serving Floridians with Developmental Disabilities - - - Fight Medicaid Fraud The Agency for Persons with Disabilities (APD) pays providers millions of dollars each year to deliver services to Floridians with developmental disabilities. When any of these Medicaid funds are literally stolen through fraudulent practices, APD and its customers are the losers. APD does not tolerate fraud, and neither should you. APD is putting additional safeguards in place, but the agency still needs your help. Please review the following information and help fight Medicaid fraud. If You Suspect Medicaid Fraud You can help by reporting suspected fraud. Complaints may be filed by anyone who observes, is aware of, or receives a complaint from any source alleging Medicaid fraud. You can do this anonymously. However, by giving your name and contact information, you may be able to provide more assistance to the investigator. Examples of Fraud • Billing for equipment or services not provided • Overcharging or double billing for services or equipment • Accepting items of value for improper favoritism toward a provider or customer—known as “self-dealing” or “kickbacks” How to Prevent Fraud • Know about your services and limits. Fraudulent activity could mean exceeding your approved service limits, causing gaps in services for you. • Review the Medicaid Monthly Services Summary to ensure that all billed services were received. • Verify with your Waiver Support Coordinator that all services being received are approved. • Ask questions if someone wants you to have services or treatments that are not on your approved Cost Plan. How to Report Fraud You can report suspected fraud by phone, on the Internet, or by postal mail. Before you make a report, try to gather as much information as possible, including: • The name of the provider you suspect of committing fraud • The customer’s Medicaid ID number • The date of the service you question • The amount of money involved • A description of the suspected fraudulent acts - - - Medicaid Fraud Is a CRIME Don't let them get away with it. - - - Where to File Your Complaint If you think a provider has engaged in a questionable activity, please contact one of the following state agencies. These agencies work closely together to prevent fraud and maintain integrity in the services provided to Floridians with developmental disabilities. Agency for Persons with Disabilities Office of the Inspector General 4030 Esplanade Way, Suite 380 Tallahassee, FL 32399-0950 1-866-APD-CARES (1-866-273-2273) www.apd.myflorida.com Agency for Health Care Administration Medicaid Program Integrity 2727 Mahan Drive, MS 6 Tallahassee, FL 32308 1-888-419-3456 Submit an online complaint at: http://ahcaxnet.fdhc.state.fl.us/ InspectorGeneral/fraud_complaintform.aspx Thank you for joining the fight against Medicaid fraud! MARCH 2008