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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 here.

Please complete if you are reporting
an abuse, neglect, or financial exploitation case.


Please include Amount of Loss if reporting Exploitation

Please complete if you are reporting Medicaid Fraud