Medicaid Fraud Reporting

Care Options for Kids (“COFK”) is serious about detecting and reporting Medicaid Fraud, Waste and Abuse. COFK believes in strictly following the laws and rules that regulate Providers like COFK in the Medicaid environment.

COFK is part of the Inspector General Integrity Initiative and have pledged to partner with the IG to fight fraud, waste and abuse in Texas’ Medicaid program. Learn more at the IG website: http://oig.hhsc.texas.gov

If you observe potential violations with COFK Medicaid patients, other Medicaid beneficiaries not patients of COFK, other healthcare Providers such as physicians, medical staff and suppliers or within COFK itself with a fellow employee or contractor, report it immediately documenting the date and details. Below are options for reporting suggested cases.

Reports are anonymous and COFK and the Texas Health & Human Services Commission follows a Non-Retaliation Policy as required by Medicaid Regulations and Law.

Reporting Medicaid Fraud, Waste & Abuse to the COFK Compliance Officer:

1-888-370-7478
and/or
medicaidcompliance@cofk.com

Reporting Medicaid Fraud, Waste & Abuse to the Texas Health & Human Services Commission (“HHSC”):

HHSC OIG Fraud Hotline: 1-800-436-6184
HHSC OIG Fraud Website: https://oig.hhsc.state.tx.us/
By Mail: Director of Medicaid Fraud Control Unit
Office of the Attorney General
P.O. Box 12307
Austin, TX 78711-2307