Magellan Health and its affiliates (Magellan) aggressively pursue allegations of health care fraud, waste and abuse, including the improper retention of overpayments. If you think an individual, company, or provider is committing fraud, waste or abuse, or is retaining overpayments, please report it. There are several options where you can report your concerns, including any of the options listed below:

How To Report Fraud, Waste, Abuse, Or Overpayments

 

Magellan’s Special Investigations Unit (SIU)
You can report potential fraud, waste or abuse to Magellan’s SIU.

  • Magellan's Special Investigations Unit hotline: 1-800-755-0850
  • Magellan's New Pharmacy Dedicated Special Investigations Unit hotline: 1-800-349-2919
  • Magellan's Special Investigations Unit e-mail: SIU@MagellanHealth.com

Magellan’s Corporate Compliance Hotline
You can also report potential fraud, waste, abuse, or overpayments using the Magellan Corporate Compliance hotline.  The hotline is available 24 hours a day, seven days a week, and callers can remain anonymous.  All calls will be investigated and will remain confidential.

The National Benefit Integrity Medicare Drug Integrity Contract (NBI MEDIC)
  You can call the NBI MEDIC at1-877-7SafeRx (1-877-772-3379) to report complaints about fraud, waste or abuse in Medicare Part C or Part D.

State Medicaid Regulatory Agencies
You can report potential fraud, waste or abuse in Medicaid directly to the State Medicaid Agency or to other designated state regulatory agencies with oversight over Medicaid fraud, waste and abuse. The state-specific contact information for reporting fraud, waste and abuse is available at:

http://www.cms.gov/Medicare-Medicaid-Coordination/Fraud-Prevention/FraudAbuseforConsumers/Report_Fraud_and_Suspected_Fraud.html.

The U.S. Department of Health & Human Services Office of Inspector General
You can report potential fraud in all federal health care programs, including Medicare, Medicaid & SCHIP, to the U.S. Department of Health and Human Services Office of Inspector General.