Office of Inspector General

Waste, Abuse & Fraud Form


		Welcome - On the following pages you will be asked to enter: Part I (hover over section for further description) Allegation Description of the fraudulent activity, who committed the fraud, when the fraud occurred and where the fraud took place. Complainant Information Information of the individual entering the referral. (You can remain anonymous.) Witness Information Information on an individual who has witnessed the fraud. Part II Attachments Attach a file(s) to the referral for additional information. Part III Select a Fraud Type (click on the type for further description) Recipient Provider Bureau of Vital Statistics Texas Youth Camps State Employee/Contractor Third Party Resources WIC Vendor Monitoring State Supported Living Centers
		For security reasons, 20 minutes of inactivity will timeout the session. This site requires JavaScript and Popups to be enabled in your browser. When you finish you will get a referral number(s) for your records. You will need this number if you need to contact Office Inspector General.
		Recipient waste, abuse and fraud includes: General Investigations involves suspicion of waste, abuse and fraud in food stamps, Medicaid and TANF-cash assistance programs, (e.g., knowingly misstating or concealing information in order to receive more benefits.) Limited Program includes abuse and overuse of Medicaid health benefits. WIC Investigations occur when false reporting of income, household number, residency and/or abuse and trafficking of benefits is suspected. Provider waste, abuse and fraud includes: Medicaid Provider Integrity (Provider Investigations) involves waste, abuse and fraud in the Medicaid or Children's Health Insurance Program (CHIP), including billing for services not provided or not medically necessary. Audit (Contractor and Vendor) reviews contracts and grants for potential waste, abuse or fraud (e.g., services not provided, unallowable expenditures, etc.) WIC (Contactors/Local Agency) & WIC (Grocers/Vendors) should be referred if there is suspicion of waste, abuse and fraud related to their participation or administration of the Women, Infants and Children (WIC) program. Bureau of Vital Statistics Fraud or abuse involving vital records with the Bureau of Vital Statistics For more information please visit Internal Affairs. Texas Youth Camps Alleged abuse, neglect, and exploitation at Texas Youth Camps For more information please visit Internal Affairs. State Employee/Contractor Employee misconduct involving potential legal violations against HHS system resources Waste, abuse and fraud involving HHS system contractors and sub-contractor Retaliation against employees under the Whistleblower Act Fraud involving workers' compensation claimants and medical providers Other activities with a potentially negative impact on the integrity of system resources, reputation, and employees. For more information please visit Internal Affairs. Third Party Resources Third Party Resources involves suspicion or evidence that a third party (e.g., employer health insurance, auto insurance, worker's compensation, etc.) is liable for costs incurred by Medicaid. WIC Vendor Monitoring WIC (Contactors/Local Agency) & WIC (Grocers/Vendors) should be referred if there is suspicion of waste, abuse and fraud related to their participation or administration of the Women, Infants and Children (WIC) program. State Supported Living Centers Alleged abuse, neglect, and exploitation at State Supported Living Centers. For more information please visit Internal Affairs.

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