DMFEA Fraud and Abuse Complaint Form

 
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Welcome to the DMFEA Complaint Form.

Our mission is to protect California’s most vulnerable citizens and help safeguard the state's Medi-Cal program. To report suspected fraud by a Medi-Cal provider (doctor, dentist, pharmacist, IHSS caregiver, durable medical equipment supplier, lab, etc.) or the abuse or neglect of an elder, a dependent adult, or a Medi-Cal beneficiary, please be prepared to describe what happened and provide as much detail as possible to help us understand the situation. Be sure to have the following information available to assist in completing the complaint form:

  • Date(s) of the incident or issue;
  • Location where the incident occurred (include address if known);
  • Name(s) of the person(s), provider, clinic or facility involved;
  • What happened (e.g. questionable billing, unnecessary services, misuse of benefits, physical, emotional or financial harm, theft);
  • Any financial loss (include an estimated dollar amount);
  • Any steps you have already taken, or reports you have filed; and
  • Supporting information, such as contract details, receipts, emails, records, documents, or photos.

Please note that DMFEA strongly discourages use of artificial intelligence (AI) software to compose your complaint. Use of these tools can lead to overly broad or inapplicable references and may result in your complaint being rejected.

Start your online complaint with DMFEA by clicking the button below.