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Fraud prevention
Falsely reporting circumstances to obtain Washington Apple Health coverage is insurance fraud. This can include, but is not limited to: underreporting income, reporting you are a resident when you live out of state, not indicating all your household members, and more.
How to report Medicaid fraud
You can help prevent misuse by reporting suspected Medicaid fraud. Your call or email is confidential.
Reporting recipients (patients) of Apple Health (Medicaid) coverage
If you suspect someone is fraudulently reporting their circumstances to receive Washington Apple Health (Medicaid) coverage, please notify:
Washington Apple Health eligibility fraud
- Email: Washington Eligibility Fraud
- Phone: 1-360-725-0934
- Fax: 360-763-4716
- Mailing address:
Health Care Authority
Attention: DAIO
PO Box 45503
Olympia, WA 98504-5503
Reporting Medicaid provider billing fraud
Medicaid providers include:
- Physicians
- Dentists
- Pharmacies
- Behavioral health professionals
- Medical supplies
- Other medical services
Provider fraud and abuse are specific complaints or incidents about such things as:
- Service billing irregularities.
- Coding that misrepresents the services provided (or not provided).
- Instances of theft or embezzlement.
- Conflicts of interest.
- Provider self-referrals or 'kickbacks'.
- Any other conduct that may be a violation of law or billing instructions.
Suspected Medicaid provider fraud may be reported by:
- Phone: 1-833-794-2345
- Email: Hot tips