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Program Integrity

The Program Integrity Office is committed to preventing, identifying, and assisting in the prosecution of health care fraud, not only to save valuable benefit dollars but also to ensure that eligible beneficiaries receive appropriate medical care. Fraud schemes can adversely impact the quality of the care received.  >>Learn More about the TRICARE Fraud Watch Program

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Ten defendants charged in $100 Million TRICARE fraud scheme

Article
10/17/2016
Image of the TRICARE logo.

Special agents with the Federal Bureau of Investigation and the Defense Criminal Investigative Service arrested nine defendants this week in connection with their roles in a $100 million health care fraud conspiracy perpetrated against TRICARE

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TRICARE Health Program, TRICARE Pharmacy Program, Program Integrity, Program Integrity

25 arrested for fraud related to TRICARE and compound drugs

Article
7/18/2016
Image of the TRICARE logo.

Twenty-five people were arrested, accused of committing fraud against TRICARE

Recommended Content:

Program Integrity, Program Integrity

2015 Annual Fraud and Abuse Report

Report
4/20/2016

2015 Annual Fraud and Abuse Report capturing all the activities of the Program Integrity Office to thwart fraud, waste and abuse.

Recommended Content:

Program Integrity, Reporting Fraud or Abuse, Program Integrity

TRICARE beneficiaries being targeted by fraudulent mailing offer

Article
8/27/2015
Image of the TRICARE logo.

The Defense Health Agency, Office of Program Integrity (DHA-PI) has received a significant number of return envelopes from mailings by a bogus organization.

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Program Integrity, Program Integrity

TRICARE Beneficiaries Being Targeted by Call Centers and Others For Unsolicited Medical Prescriptions

Article
4/10/2015
Image of the TRICARE logo.

The Defense Health Agency, Office of Program Integrity (DHA-PI) has received a significant number of concerns from our TRICARE beneficiaries regarding unsolicited attempts by “Call Centers” to encourage them to provide personal identifying information and health information so that they can allegedly provide prescribed cream medications to the TRICARE beneficiary.

Recommended Content:

Program Integrity, Program Integrity, Compound Drugs, TRICARE Pharmacy Program

2014 Annual Fraud and Abuse Report

Report
12/31/2014

2014 Annual Fraud and Abuse Report capturing all the activities of the Program Integrity Office to thwart fraud, waste and abuse.

Recommended Content:

Program Integrity, Reporting Fraud or Abuse, Program Integrity
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Showing results 1 - 6 Page 1 of 1

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

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