Medicaid Recipient Fraud

The Medicaid Recipient Fraud Unit of the South Carolina Attorney General’s Office actively investigates and prosecutes Medicaid beneficiaries suspected of fraud and abuse. Specifically, the Medicaid Recipient Fraud Unit tackles cases where Medicaid recipients are alleged to have done the following:

• Submitted a false application for Medicaid
• Provided false or misleading information about income, assets, family members, or resources
• Shared a Medicaid card with another individual
• Sold or bought a Medicaid card
• Diverted for resale prescription drugs, medical supplies, or other benefits
• Participated in doctor or pharmacy shopping
• Obtained Medicaid benefits that they were not entitled to through other fraudulent means

Suspected Medicaid recipient fraud should be reported to the South Carolina Department of Health and Human Services via the toll free tip line: 1-888-364-3224.