Excellent care today leads to a healthier tomorrow.Man and woman hiking

Learn about Kaiser Permanente

Maryland

Medicaid Fraud and Abuse

Fraud and abuse occur when false or untrue information is given to receive health care benefits, services, and/or payments, either for that person or for someone else. If you suspect a member or a provider has committed fraud, waste, or abuse, you have a responsibility to report it. Examples of member fraud, waste, or abuse include, but are not limited to:

  • Lending your insurance ID card to someone else.
  • Using more than one provider to get similar treatments and/or medications.
  • Frequent emergency room visits for non-emergency conditions.
  • Not living in Maryland.
  • Falsely reporting household income or under-reporting income, insurance, resources and assets, such as bank accounts, stocks, bonds, and property.
  • Altering a written prescription.
  • Selling prescription medications.

To report fraud or abuse, gather as much information as possible. You can report providers or members directly to Kaiser Permanente by writing to:

Compliance Department
Program Integrity
Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.
2010 East Jefferson Street
Rockville, MD 20852

You can also contact the Office of Inspector General Hotline at 866-770-7175. Reporting fraud and abuse will not affect how you are treated by Kaiser Permanente.

Other Languages        Nondiscrimination Notice