Medicaid Fraud Control Unit Complaint Form

If you feel you have been the victim of or have information of Medicaid (AHCCCS) fraud; fraud in the administration of the Medicaid program; and abuse, neglect or financial exploitation occurring in Medicaid facilities or committed by Medicaid providers or their employee, please fill out the complaint form below, or download a printable complaint form.

 


 


Please complete this section if you are reporting an
Abuse, Neglect, or Financial Exploitation case.


 


Please complete this section if you are reporting
Medicaid Fraud.