Reporting Fraud, Waste, & Abuse of Medicaid Services Through the Program Integrity Web Page
We want to know if you or someone you know who is/was receiving Medicaid benefits may have been aware of any instances of fraud, waste, and abuse while receiving care. If so, please let us know by providing responses to the questions below.
Have you or someone you know received care while covered by Medicaid?
Yes, I am/was a Medicaid Client.
Yes, my friend or family member is/was a Medicaid Client.
Please describe in detail the instance of fraud, waste, and abuse you observed.
Was this a singular instance? Or has this happened more than once, over a period of time?
This was a one time occurrence.
This has happened multiple times over a period of time.
The Program Integrity Unit may need to follow-up with you concerning questions or clarification to the information you've provided. Please provide your full name (first and last), telephone number(s) you can be reached at, including area code, and your mailing address:
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This form was created inside of State of Wyoming.