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How to report Medicare or Medicaid fraud in Pennsylvania

Where to report suspected Medicare or Medicaid fraud in Pennsylvania, what to gather first, and what happens after you file.

Pennsylvania Office of Attorney General, Medicaid Fraud Control Section

Deadline

There's no deadline to report suspected Medicaid fraud or patient abuse to the Medicaid Fraud Control Section. Report it as soon as you notice it so investigators can act while records and witnesses are still available.

Pennsylvania's Medicaid Fraud Control Section, inside the Office of Attorney General, takes referrals through an online form or by calling its Harrisburg headquarters or one of three regional offices; describe the provider, the facility, and what you observed. Anyone, including a concerned citizen with no direct stake in the case, can file a referral. Pennsylvania has no state qui tam false claims act, so this report is the whole mechanism here; there is no relator's share waiting on the other end, only the referral itself and whatever the state's own investigation turns up.

Gather this first

  • The provider's or facility's name and address
  • A detailed, specific account of the suspected fraud, abuse, or neglect
  • Copies of any billing records or documentation you have
  • Your daytime phone number, since an investigator may contact you for more information

Submit a Medicaid fraud referral or call 717-712-1220

Facts last verified against official sources: 2026-07-04

After you report

  1. Your report is logged and an investigator reviews it. They may contact you for more detail or reach out to the provider or facility directly.
  2. This channel carries no reward of its own; it is about stopping the fraud, and a federal case may still be an option.
  3. You can usually ask to stay anonymous, and you do not need a lawyer to file the report itself.

Related guides

Back to federal options and other states

Not legal advice

GetSnitching explains programs and processes in plain English from official sources. Whistleblower and reporting decisions can carry real legal risk. For advice about your situation, talk to a licensed attorney. Many whistleblower attorneys offer free consultations.

Official sources