Office of Medicaid Program Integrity

Kelly Bennett. Chief
Office of Medicaid Program Integrity
Division of Health Quality Assurance
Telephone:(850) 412-4600
Fax:(850) 410-1972 Fax

The Office of Medicaid Program Integrity audits and investigates providers suspected of overbilling or defrauding Florida's Medicaid program, recovers overpayments, issues administrative sanctions, and refers cases of suspected fraud for criminal investigation.

To report suspected Medicaid fraud, contact our hotline at 1-888-419-3456 or Complete a complaint form online.

AHCA Fraud Fighter Achievement Award

Providers Certified Out of Business

Certified Out of Business Worsksheet

Sanctioned and Terminated Providers

HHS Excluded Providers (federal database)

Explanation and Disclaimer for Sanctioned, Terminated or Excluded Individuals or Entities [123 KB, PDF]

 

The Sanctioned providers list contains those providers that were sanctioned or terminated while rendering services for the Medicaid program. The Excluded providers link takes you to the U.S. Department of Health & Human Services Office of Inspector General website where you can search their database of excluded providers. Those excluded providers are individuals and entities who cannot participate in any federal or state funded health care programs.

Provider Self-Audit Resources

Report Medicaid Fraud

Avoiding Medicare and Medicaid Fraud and Abuse [3.4 MB, PDF]

Pursuant to Florida Statutes 409.913