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Value Behavioral Health of Pennsylvania - A ValueOptions Company
 
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 Provider Manual

FRAUD AND ABUSE
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The Department of Public Welfare (DPW) has established a hotline to report suspected fraud and abuse committed by any entity providing services to Medical Assistance recipients.  The hotline number is 1-866-DPW-TIPS (1-866-379-8477) and operates between the hours of 8:30 AM and 3:30 PM, Monday through Friday.  Voice mail is available at all other times.  Callers may remain anonymous and may call after hours and leave a voice mail if they prefer.

Some common examples of fraud and abuse are:

  • Billing or charging Medical Assistance recipients for covered services
  • Billing more than once for the same service
  • Dispensing generic drugs and billing for brand name drugs
  • Falsifying records
  • Performing inappropriate or unnecessary services

Suspected fraud and abuse may also be reported via the website at: www.dpw.state.pa.us/omap or emailed to omaptips@state.pa.us.  Information reported via the website or email can also be done anonymously.  The website contains additional information on reporting fraud and abuse.


 
 
 
 
   
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