Providers: Report Fraud

How to Report Fraud and Abuse 

If you have information related to a suspected incident of fraud, waste, or abuse, please contact: 

• Department of RI Attorney General for reports on Medicaid fraud, Patient Abuse or Neglect, or Drug Diversion at (401) 222-2556 or (401) 274-4400 ext. 2269; 
• EOHHS Office of Program Integrity for assistance on any publicly funded health and human services program at (401) 462-6503. 

Fraud and Abuse Investigations 

The Office of Program Integrity (OPI) is committed to identifying fraud, waste, and abuse in Medicaid and in all health and human service programs. The OPI actively pursues any leads indicating fraudulent practices and uses them as a source to begin investigations. To increase our effectiveness, the OPI is partnering with Medicare and Medicaid insurance companies to share information about fraudulent activity and to conduct joint investigations. 
 
The OPI also receives complaints from patients, their families, other providers, former employees of a provider, and through federal and state referrals. Office staff triage and investigate every valid complaint. Click here to learn more about the OPI.