Provider Trainings

Fraud, Waste and Abuse

Reporting fraud or abuse

You can report fraud or abuse. If you see any activity that you think is fraudulent or wasteful, we strongly encourage you to call our Compliance and Ethics Hotline at 1-877-837-4417 or report the activity using the Suspected Fraud or Abuse Referral Form. You do not have to give your name to report fraud activity.

Understanding your role in health care fraud Understanding your role in identifying health care fraud.

Suspected Fraud or Abuse Referral Form Download PDF Icon Instructions for completing and submitting a suspected fraud or abuse.

Fraud, waste and abuse compliance training Download PDF Icon CalOptima fraud, waste and abuse training module for contracted providers.

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    View the latest model of care and other educational materials designed to help you and your staff provide care for CalOptima members.

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