Chelan-Douglas Regional Support Network/
Prepaid Health Plan

For Mental Health

   
Medicaid Fraud and Abuse  
 
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Chelan-Douglas RSN/PIHP
636 Valley Mall Parkway,
Suite 200
East Wenatchee, WA 98802

509-886-6318
1-877-563-3678
Fax: 509-886-6320

Monday - Friday
8 AM - 5 PM

 

 

To report suspected Medicaid fraud and abuse please contact the CDRSN Compliance Officer:

  • In person By calling the Compliance Officer at (509) 886-6318
  • By faxing the Compliance Officer at (509) 886-6320
  • By e-mail at cmott@cdrsn.org
  • By mailing a written concern to:
    Compliance Officer
    CDRSN
    636 Valley Mall Parkway, Suite 200
    East Wenatchee, WA 98802
You may also anonymously report suspected Medicaid Fraud or Abuse by calling the toll free Fraud and Abuse Prevention Hotline at 1 (877) 563-3678.

Fraud and Abuse includes but is not limited to:

  • "Phantom Patients"
  • Enrolling deceased patients
  • Billing for services not performed
  • Double billing
  • Intentional improper billing
  • Unnecessary services
  • Kickbacks
  • Up coding
  • Unbundling
  • Falsification of health care provider credentials
  • Falsification of provider financial solvency
  • Related party contracting
  • Incentives that limit services or referral
  • Embezzlement and theft
  • Billing Medicaid enrollees for RSN covered services

   

Crisis Line - 509-662-7105 or 1-800-852-2923