AHCCCS Fraud, Abuse, Or Abuse of a Member
The chief goal of the AHCCCS Office of Program Integrity 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 Program Integrity 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.
