Beneficiary Fraud Form

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Beneficiary's Gender

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Please fill out this field if you are reporting fraud by a parent of a Medicaid beneficiary. This entry is invalid.
Please enter the phone number in XXX-XXX-XXXX format This entry is invalid.
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You are able to report suspected fraud complaints anonymously. But, if you would like the Medicaid Fraud Complaints Unit to contact you, please complete the fields below.

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Surgeon General Ralph L. Abraham, M.D.

Secretary Bruce D. Greenstein

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