Preventing Fraud and Abuse

The Alabama Medicaid Agency is committed to detecting, preventing and/or eliminating all forms of fraud and abuse to ensure that all available funds go to provide health care to those in need.

The Alabama Medicaid Agency's Program Integrity Division is responsible for planning, developing and directing Agency efforts to identify, prevent and assist with the prosecution of  fraud, abuse and/or misuse in the Medicaid program. This includes verifying that medical services are appropriate and rendered as billed, that services are provided by qualified providers to eligible recipients, that payments for those services are correct and that all funds identified for collection are pursued.

Medicaid recipients, providers and the general public are encouraged to confidentially report any suspected fraud or abuse. Reports may be made by calling a toll-free hotline or by sending a letter to the Program Integrity Division. Click the links on this page to find out more.