MA Provider Compliance Hotline: 1-866-379-8477

The MA Provider Compliance Hotline, established by and located in the DHS Bureau of Program Integrity, is designed to provide easy access for reporting suspected fraudulent and abusive practices by providers in fee for service and managed care within the Pennsylvania MA Program. The Hotline is staffed with medical professionals who are available from 8:30 a.m. to 3:30 p.m. (Eastern Time), Monday through Friday. Voice messaging is available outside these hours. Non-English speaking interpreter services are available to provide assistance to callers and TTY services for persons with hearing impairment are also available.

  • Callers to the Hotline are not required to identify themselves.
  • If a caller does not wish to speak to a Hotline representative directly, please leave a message outside the hours of operation.
  • You may report suspected fraudulent and abusive practices through this Web site without disclosing your identity by completing and submitting the response form which follows.

Please have the following information when you call:

  • Provider's name and address
  • Description of the suspected fraudulent and abusive activity, including the time period, frequency of the events, recipient name, and recipient ID number
  • Telephone number where you can be reached, in the event that you want to be contacted

Contact Information for Fraud and Abuse Reporting:

If you have knowledge of suspected MA provider noncompliance, or of substandard quality of care for services paid for under the Pennsylvania Medical Assistance Program, please contact the MA Provider Compliance Hotline by:

 

Bureau of Program Integrity
MA Provider Compliance Hotline
P.O. Box 2675
Harrisburg, PA 17105-2675