If you suspect a person who receives benefits or a provider (a doctor, dentist, counselor, etc.) has committed fraud, waste, or abuse, you have a responsibility and a right to report it.

Reporting Fraud, Waste, or Abuse by a Provider or Person Who Receives Benefits

You can report directly to Cigna any providers or persons who receive benefits that you suspect of fraud, waste, or abuse:

Cigna
2208 Highway 121 Suite 210
Bedford, TX 76021
1 (800) 826-6762 (TTY 711)
24 hours a day, 7 days a week

Or, go to https://oig.hhsc.texas.gov/ where you will find information about reporting fraud, waste, or abuse. The site tells you about the types of fraud, waste, or abuse to report. If you would rather talk to a person, call the HHSC Office of Inspector General Fraud Hotline at 1 (800) 436-6184 (TTY 711).

Common Fraud Schemes

  • Sharing your Medicaid identification card with someone else so they can obtain services.
  • Personal care attendant offering to share their paycheck in return for not showing up.
  • Personal care attendant offering monies to “clock in or out” while not physically at residence.
  • Providing your Medicaid number over the phone to someone who is promising free services.
  • Changing agencies in exchange of receipt of incentives such as money/gift cards.
  • Pharmacies mailing medications that were not prescribed by your primary care provider.
  • Phone scams (robo-calls) trying to sell you something (without your written permission) or get information about you. Please report these to the Federal Trade Commission (FTC).