For Immediate Release - January 19, 2012

AG Coakley Launches New Tool in Fight Against Medicaid Fraud

Online Complaint Form on AG’s Website Creates Additional Resource For Referrals

BOSTON – In an effort to encourage people to report instances of abuse, neglect, and fraud related to the Medicaid system in Massachusetts, Attorney General Martha Coakley has launched an online form to make it even easier to send complaints.

The newly created Medicaid Fraud Complaint or Fraud Reporting Form, located on the AGO’s website, allows individuals to report instances of Medicaid fraud and misconduct electronically to the Attorney General’s Medicaid Fraud Division for referral.  The online form is in addition to the Medicaid Fraud tip line that currently receives hundreds of complaints each year and which has resulted in significant investigations and recovery of taxpayer dollars.

“Our office has recovered millions of dollars for the state’s Medicaid program, but we can only be as effective as the referrals that we receive," AG Coakley said.  "This online form adds another valuable resource for individuals to report crimes that involve the Medicaid system.” 

The Medicaid Fraud Complaint or Fraud Reporting Form requires information regarding the subject of the complaint, the suspected fraud, and a brief description of the events that occurred.  Complaints are reviewed on a daily basis by members of AG Coakley’s Medicaid Fraud Division.  The form may be submitted anonymously by the complainant. In addition to the online form, individuals may continue to contact the Medicaid Fraud tip line at (617) 963-2360. 

The AG’s Medicaid Fraud Division serves as the Medicaid Fraud Control Unit for the Commonwealth and is annually certified by the Secretary of the U.S. Department of Health and Human Services.  The Division has found referrals to be very effective in producing successful cases and relies heavily upon them.

AG Coakley's Office continues to maintain a leadership role nationally in the fight against fraud, waste and abuse in the Medicaid program. Since 2007, Attorney General Coakley's Office has recovered more than $210 million on behalf of the Massachusetts Medicaid program. This represents a ratio of $18 returned to taxpayers for every dollar in the division’s budget.

In December, a lawsuit filed against thirteen drug manufacturers over inflated prices ended with more than $47 million recovered for the Medicaid Program.  As part of that lawsuit, Merck & Co., Inc. (Merck) agreed to pay $24 million to Massachusetts, which was the largest single payment to the Commonwealth for one Medicaid fraud case in state history. 

Medicaid is a government run healthcare program for the poor, elderly and disabled, which is jointly funded by the states and the federal government. The AG’s Medicaid Fraud Division works cooperatively with MassHealth and other state and federal agencies to prosecute fraud against the Massachusetts Medicaid program.


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