MA Provider Compliance Hotline: Response Form
If you have knowledge of suspected fraud or abuse involving services paid for by the Pennsylvania Medical Assistance Program, please fill in as much of the requested information as you can on the form below. Then click on the SUBMIT button to send your information to the MA Provider Compliance Hotline in the Bureau of Program Integrity.

IMPORTANT: Do not include information in this email that could jeopardize the privacy rights of individuals. For example, do not include names of individuals, social security numbers, addresses, telephone numbers, dates of birth, health status, etc.

Submission of this form will not disclose your identity unless you complete box 5.