Program Integrity Division

The Office of the Inspector General’s Program Integrity Unit audits and investigates health care providers and suppliers of durable medical equipment and supplies who are suspected of overbilling or defrauding the Maryland Medicaid program. Findings of fraud and abuse may result in administrative actions or referral to the Office of the Attorney General, Medicaid Fraud Control Unit for civil or criminal prosecution.

The Program Integrity Unit also conducts investigations into allegations related to Medicaid consumer eligibility and misuse of benefit cards. In addition to seeking recovery of funds from Medicaid recipients who improperly received Medicaid services, the Unit coordinates with other State and federal law enforcement agencies to ensure streamlined investigations and prosecutions. 

Reporting Fraud 

The Office of the Inspector General relies on Providers and Medicaid Recipients to report allegations of fraud, waste, and abuse. Identifying fraud and abuse not only saves the State money, but it improves the quality of care to the Citizens of Maryland. 

To report suspected Medicaid fraud, contact our hotline at 1-866-770-7175 or complete a complaint form online. 

If you are a Provider and have identified an overpayment due to improper conduct please contact the OIG at: 

MDH - Office of the Inspector General 
Assistant Inspector General - Program Integrity 
201 West Preston Street
Baltimore, MD 21201
Or call: 410-767-5784

Failure to self-report an overpayment may lead to additional penalties being imposed or subject the provider to civil or criminal prosecution.