What is Magellan Complete Care?
Magellan Complete Care is a Florida Medicaid specialty health plan for individuals living with a serious mental illness that combines care for both a member's physical and mental well being.
Reporting Abuse, Neglect, Exploitation or Compliance concerns. You can report abuse, neglect, or exploitation by calling the abuse hotline at 800-96-ABUSE.
Magellan Complete Care is dedicated to conducting business in a legal manner. We are committed to preventing, detecting and reporting fraud, waste and abuse. In addition, the Bureau of Medicaid Program Integrity wants to prevent fraud, waste and abuse. They check on anybody including members, providers, and vendors who may be trying to commit fraud, waste or abuse against the Medicaid Program. They also:
If you think someone or a provider is committing fraud, waste and abuse, please report it. The Magellan Complete Care Corporate Compliance hotline is available 24 hours a day, seven days a week. An outside company handles the line, and callers do not have to give their names. All calls will be investigated and will remain confidential.
To report suspected fraud or abuse in Florida Medicaid call the consumer Complaint Hotline toll-free at 888-419-3456 or complete a Medicaid Fraud and Abuse Complaint Form, which is available online at https://apps.ahca.myflorida.com/inspectorGeneral/fraud_complaintform.aspx
If you report suspected fraud and your report results in a fine, penalty or forfeiture of property from a doctor or other health care provider, you may be eligible for a reward through the Attorney General’s Fraud Rewards Program, toll-free 866-966-7226 or 850-414-3990.
The reward may be up to twenty-five percent (25%) of the amount recovered, or a maximum of $500,000 per case (Section 409.9203, Florida Statutes).
You can talk to the Attorney General’s Office about keeping your identity confidential and protected. You can report suspected fraud, waste, and abuse to the Florida Department of Financial Services Division of Insurance Fraud: Contact the DFS Fraud Hotline at 1-800- 378-0445.
You can also contact the U.S. Department of Health & Human Services Office of Inspector General at 1-800-447-8477 or by e-mail to HHSTips@oig.hhs.gov or by mail to the address below.
U.S. Department of Health and Human Services
Office of Inspector General
ATTN: OIG HOTLINE OPERATIONS
PO Box 23489
Washington, DC 20026
More information is available at:
This page last updated: 9/2/2016 2:19:21 PM