Welfare Fraud Tipline 1.844.DHS.TIPS

Identifying and eliminating welfare fraud requires dedicated teamwork between the Department of Human Services and the Office of Inspector General. The department is responsible for overseeing its programs for any suspected waste, fraud, and abuse and sends suspicious data to the Office of Inspector General for review and potentially an investigation. Individuals who suspect welfare fraud or abuse in Pennsylvania should call the welfare fraud hot line at 1.844.DHS.TIPS.

Report Provider Fraud Report Recipient Fraud

The OIG inspects recipient fraud. Click the “Report Recipient Fraud” button above if you know someone who receives: cash assistance, Supplemental Nutrition Assistance Program (SNAP) benefits (formerly known as Food Stamps), Heating/Energy Assistance (LIHEAP), child care, medical assistance or other public benefits AND that person is not reporting income, not reporting ownership of resources or property, not reporting who lives in their household, allowing another person to use his or her ACCESS card, trafficking SNAP benefits or taking advantage of the system in any way.

DHS inspects provider fraud. Click the “Report Provider Fraud” button above if you see any of these examples of Provider Fraud and Abuse (including but not limited to):

Falsifying Claims/Encounters

  • Billing for services not rendered
  • Billing separately for services in lieu of an available combination code
  • Misrepresentation of the service/supplies rendered (billing brand name for generic drug, upcoding to more expensive service than was rendered, billing for more time or units of service than provided)
  • Altering claims
  • Submission of any false data on claims, such as date of service, provider or prescriber of service
  • Duplicate billing for the same service
  • Billing for services provided by unlicensed or unqualified persons
  • Billing for used items as new

Abuse of Recipients

  • Physical, mental, emotional or sexual abuse
  • Discrimination
  • Neglect
  • Providing substandard or inappropriate care

Between the period July 1, 2016 through June 30, 2017 the welfare fraud hot line has:

  • Received 17,242 tip complaints tips are communicated through the toll-free welfare fraud tip line, regular mail, or via the web.
  • Of the complaints received, 4,392 field investigations were conducted by the Office of Inspector General.
  • Investigations resulted in $14,362,194 in costs avoided by the Department of Human Services.

Data provided by the Office of Inspector General

Find out more about the Inspector General’s current investigations and prosecutions in the links below.

Office Of Inspector General Annual report

Press releases listing Pennsylvanians who were found guilty of fraud  

 

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