AHCCCS Fraud, Abuse, Or Abuse of a Member

The chief goal of the AHCCCS Office of Inspector General is to ensure that AHCCCS (Medicaid) funds are used effectively, efficiently, and in compliance with applicable state and federal laws and policies. Every dollar lost to the misuse of AHCCCS benefits is one less dollar available to fund programs which provide essential medical services for Arizona residents. The Office of Inspector General audits and investigates providers and members who are suspected of defrauding the AHCCCS program, recovers overpayments, issues administrative sanctions, and refers cases of suspected fraud for criminal prosecution. You are encouraged to immediately report matters involving fraud, waste and abuse.


Program Integrity Fact Sheet

The following fact sheet provides a summary of the activities of the AHCCCS Office of Inspector General:

Program Integrity Fact Sheet [243KB]