Report fraud

Health care fraud, waste, and abuse are serious issues. They make healthcare more expensive for everyone.

Fraud is a dishonest act done on purpose. Examples of fraud are:

• Providing false information when applying for programs or services
• Getting prescriptions with the intent of abusing or selling them
• Letting someone else use your healthcare ID card

If you suspect health care fraud, waste, and abuse, report it to Santa Clara Family Health Plan’s (SCFHP) Compliance Officer. Here’s how you can report:

• Call the SCFHP 24/7 Fraud Hotline: 1-408-874-1450 (TTY: 711)
• Email: ReportFraud@scfhp.com
• Fax: 1-408-874-1970
• Report by mail:

Attn: Compliance Officer
Santa Clara Family Health Plan
PO Box 18880
San Jose, CA 95158

Be sure to have as much information as possible. The more information you have, the better SCFHP will be able to successfully investigate and resolve the issue.

You may also contact the federal agencies below:

California Department of Health Care Services (DHCS)

• Phone: 1-800-822-6222
• Email: stopmedicalfraud@dhcs.ca.gov
• Web: Report fraud online
• Report by mail:

PAU MS 2200
PO Box 997413
Sacramento, CA 95899-7413

HHS Office of Inspector General

• Phone: 1-800-447-8477 (TTY: 1-800-377-4950)
• Web: Report fraud online
• Report by mail:

HHS Tips Hotline
PO Box 23489
Washington, DC 20026-3489

Centers for Medicare & Medicaid Services

• Phone: 1-800-633-4227 (TTY: 1-877-486-2048)
• Web: www.stopmedicarefraud.gov
• Report fraud online
• Report by mail:

Medicare Beneficiary Contact Center
PO Box 39
Lawrence, KS 66044