Help fight health care fraud and abuse
Fraud and abuse can also make you sick and even hurt you. That’s why it’s important for you to learn more about it.
Examples of health care fraud include:
- A doctor bills for something that he or she didn’t do in order to be paid by a health plan.
- A person receives health care services under someone else’s name.
Examples of health care abuse include: - A person goes to different doctors just to get more prescription medication.
- A person goes to the emergency room for non-emergency medical services.
- A doctor orders unnecessary medical tests.
Learn more about fraud and abuse.
Protect yourself and your family
- Treat your Priority Health Medicaid and Social Security numbers like credit card numbers. Don’t share them with others.
- Rip up your Priority Health Medicaid papers and any other papers with important personal information before throwing them away.
- Don’t keep mail in your mailbox for more than one day. People steal personal information right out of your mailbox.
- Do your homework and talk to your doctor before buying “cure-alls” or “miracle cure” products or services.
- Remember Priority Health Medicaid doesn’t sell anything.
- Follow your feelings — if it seems too good to be true, it usually is.
Reporting fraud and abuse
If you think you know about health care fraud or abuse, contact Priority Health right away. You don’t have to give your name, address or phone number. You may remain anonymous.
- Call Customer Service at 616 942-1221 or 800 446-5674.
- Call the compliance helpline at 800 560-7013 (available 24 hours a day).
- Write to: Priority Health Fraud and Abuse Program
Finance Department — Mail Stop 2305
1231 East Beltline NE
Grand Rapids, MI 49525-4501
You can also contact the State of Michigan Medicaid department directly about fraud or abuse. You don’t have to give your name, address or phone number. You may remain anonymous.
- Call toll-free 866 428-0005.
- On the internet, go to michigan.gov/mdch. In the search box, type “fraud and abuse reporting.” The site will provide examples and directions of how to report fraud and abuse.
You can also write to:
Medicaid Integrity Program
400 South Pine St., 6th Floor
Lansing, MI 48909
Topics: Health care costs
