16000, Fraud Waste and Abuse

Revision 24-1; Effective Sept. 12, 2024

If the payers find a program provider, FMSA or CDS employer is not compliant with EVV policy and procedures, it could result in a referral for a fraud, waste and abuse investigation.

If you are made aware of, or suspect situations that may be considered Medicaid fraud, waste or abuse, report it to the HHSC Inspector General online or call their toll-free fraud hotline at 800-436-6184.