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How We Handle ComplaintsStop Fraud logo. dhcs.ca.gov/fraud, 1-800-822-6222,

 
 
The Staff at DHCS Stop Medi-Cal Fraud Intake Unit handle all inquiries regarding Medi-Cal Fraud. We receive hundreds of fraud complaints daily by e-mail, the Stop Medi-Cal Fraud and IHSS Fraud Hotlines, hard mail and directly from various other agencies.
 
  • The Intake Unit responds to all inquiries, calls and e-mails
  • Staff processes the information and inputs it into a tracking data base
  • As needed, staff will contact the reporting party to verify, seek or clarify information
  • Staff analyzes the complaint and determines if it should be referred to one of the regional Audits and Investigations  offices for investigation and resolution. 
  • Investigators interview witnesses, evaluate claims data, conduct data searches and perform other investigation activities.
  • If sufficient evidence exists, A&I will refer the case to the Department of Justice or to a local District Attorney's Office 

 

NOTE: Due to HIPPA  and Law Enforcement guidelines, Intake Unit Staff are unable to provide the status or resolution of a complaint.      

 

Report Medi-Cal Fraud
Last modified on: 1/5/2016 3:25 PM