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Office of Medicaid Program Integrity

Medicaid Fraud and Abuse Complaint Form

Medicaid Program Integrity (MPI) within the Agency for Health Care Administration accepts complaints alleging suspected fraud and abuse in the Florida Medicaid program.

For additional information contact:

MPIComplaints@ahca.myflorida.com
2727 Mahan Drive, MS#6
Tallahassee, FL 32308


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Complaint Information
 
 

MPI receives complaints alleging fraud or abuse under the Florida Medicaid program using this form. You can report suspected fraud without giving your name and contact information. However, providing your contact information will help our investigation.

In order to request whistle-blower protection, you must file your complaint with the Chief Inspector General or the applicable Agency Inspector General. You can file your complaint with the AHCA Inspector General through their complaint form.

If you wish to file a complaint related to a health care practitioners’ quality of care, those complaints should be filed with their regulator, the Florida Department of Health. Use this link to access the Florida Health Care Complaint Portal.

If you are reporting a Medicaid recipient that you do not believe is eligible for Medicaid, those complaints are investigated by the Florida Department of Children and Families (DCF). Use this link to report suspected Public Assistance Fraud to DCF.

Additional information about health care facilities and providers regulated by the AHCA Division of Health Quality Assurance is available on the Agency’s website. The website includes information about how to file a complaint against a licensed health care facility regulated by AHCA through the Licensed Health Care Facility Complaint Form.