Report a case. If you suspect a person who receives benefits or a Provider (doctor, dentist, counselor, etc.) has committed fraud, waste, or abuse, you have a responsibility and a right to report it.
You can report any Providers or clients you suspect of fraud, waste, or abuse directly to Community:
Community Health Choice
Chief Compliance Officer
4888 Loop Central Dr. Suite 600
Houston, TX 77081
1.877.888.0002
Or if you can get on the Internet, go to www.hhsc.state.tx.us and select the “Reporting Waste, Abuse and Fraud” tab on the left side of the screen. The site tells you about the types of waste, abuse and fraud to report. If you cannot get on the Internet and you would rather talk to a person, call the HHSC Office of Inspector General Fraud Hotline at 1.800.436.6184. You also can send a note or letter to the following addresses:
To report Providers, use this address:
Office of Inspector General
Medicaid Provider Integrity/Mail Code 1361
P.O. Box 85200
Austin, TX 78708-5200
To report clients, use this address:
Office of Inspector General
General Investigations/Mail Code 1362
P.O. Box 85200
Austin, TX 78708-5200
To report fraud, waste, or abuse, gather as much information as possible.
When reporting a Provider (doctor, dentist, counselor, etc.), include:
When reporting about someone who receives benefits:
As a local nonprofit health plan, Community Health Choice gives you plenty of reasons to join our Community. From the benefits and special programs we offer to the way our Member Services team helps you make the most of them, Community is always working life forward for you and your family.
“Community Health Choice is always there to answer my questions and help me and my family with our medical needs. I truly appreciate and value their customer support and service.”
– Cecily
Member of Community Health Choice