Your Medicaid benefits are provided to keep you or your family members healthy. As a Medicaid member, CHP expects that you will use your Medicaid card and Medicaid benefits in a responsible and legal way. Misusing your Medicaid benefits or Medicaid card can cause serious problems.
It is considered fraud if a member or provider lies so they can:
Abuse happens if a member causes needless costs to the system, on purpose. For example:
Misuse of your Medicaid card, including loaning, selling or giving it to others could result in you losing your Medicaid or other benefits. It can cause you to lose your Medicaid eligibility. Fraud and abuse are felony crimes. They can result in legal action against the member or the provider.
If you think someone is committing fraud and abuse, you can contact: