Reporting Suspected Fraud
When reporting a situation that you believe may involve Provider OR Member fraud in the Health First Colorado (Colorado's Medicaid program) or Child Health Plan Plus (CHP+) programs, please include the following information:
- Name of person or entity you suspect may be committing fraud, waste or abuse.
- Address and/or telephone number of that person or entity, if you have it.
- Why you think that person or entity is involved in fraud, waste or abuse.
- Your name, phone number and email address. You can submit a report without giving your name, however, this may prevent a comprehensive review of the report. We encourage you to provide information on how to contact you for additional information. You may also mail additional information to the address below.
Please do not report potential fraud that is not related to Health First Colorado or CHP+ to the Colorado Department of Health Care Policy & Financing (HCPF).
How do I report suspected Provider Fraud?
- Submit our online Health First Colorado Provider Fraud Form
- Call us toll free at 855-375-2500 (for State Relay, call 711)
- Send an email to hcpf_reportproviderfraud@state.co.us
- Send a fax to 303-866-4411
- or, Mail information to:
Department of Health Care Policy & Financing
Attn: Program Integrity Section
303 E. 17th Avenue, Suite 1100
Denver, CO 80203 - You may report suspected provider fraud directly to the Medicaid Fraud Control Unit at the State of Colorado Attorney General's Office.
- You may also contact the Office of Inspector General, U.S. Department of Health and Human Services Fraud Hotline.
How do I report suspected Member Fraud?
- Submit our online Health First Colorado Member Fraud Form
- Call 844-475-0444 (for State Relay, call 711)
- Send an email to hcpf_report.clientfraud@state.co.us
- Send a fax to 303-866-4411
- Mail information to:
Department of Health Care Policy & Financing
Attn: Program Integrity Section
303 E. 17th Avenue, Suite 1100
Denver, CO 80203 - or contact the office of the Colorado Department of Human Services for the county where the member's benefits were authorized.