Reporting Fraud, Waste, and Abuse
What to do if you suspect fraud, waste, and/or abuse of Medicaid or Medicare funding?
For Pines Employees and Contracted Providers
Every employee throughout the Pines network is responsible for reporting any act of fraud or abuse. In fact, if you know of a wrongful act and you fail to report it, you too could be held responsible. Employees are protected by “Whistleblower” protection through the False Claims Act against retaliation for reporting a concern in good faith about a suspected violation. All reports will remain confidential and can be filed in person, in writing, or verbally:
For Community Members, Individuals Receiving Services, Advocates, etc.
Members of the community may report compliance allegations and concerns even if they’re not Pines employees or part of the Pines network.
If you suspect fraud, waste, or abuse of public funding, you can report confidentially in person, in writing, or verbally:
All reports will be thoroughly investigated and resolved by the Compliance Officer with appropriate reporting to the Compliance Committee.