DMFEA Contact Us

If you need to report suspected fraud by a Medi-Cal provider (doctor, dentist, pharmacist, IHSS caregiver, durable medical equipment supplier, lab, etc.) or the abuse or neglect of an elder, a dependent adult, or a Medi-Cal beneficiary, we recommend using our on-line complaint form (linked below).

Please be prepared to describe what happened and provide as much detail as possible to help us understand the situation. Be sure to include:

  • Date(s) of the incident or issue;
  • Location where the incident occurred (include address if known);
  • Name(s) of the person(s), provider, clinic or facility involved;
  • What happened (e.g. questionable billing, unnecessary services, misuse of benefits, physical, emotional or financial harm, theft);
  • Any financial loss (include an estimated dollar amount if possible); and
  • Supporting information, such as contract details, receipts, emails, records, documents, or photos.
  • Please Include any steps you have already taken, or reports you have filed.

Examples: I noticed something that seemed unusual at a medical clinic I visited. I was billed for services I did not receive and I have seen similar issues more than once. This happened a few weeks ago. I still have some of the paperwork and appointment records. I’m not sure if it is an error or something more, but I want to report it just in case.

I am reporting concerns about a caregiver at [ Facility Name ] in [ City ]. Over the past few weeks, I have seen the caregiver yelling at an elderly patient and refusing to help them use the bathroom. This usually happens during the evening shift. I do not know the patient’s full name, but I believe they are in Room 204. I do not work there, but I visit a family member regularly and have witnessed this more than once. I believe this may be abuse and would like it looked into.

Click Here to Submit a DMFEA Fraud and Abuse Online Complaint Form

If you prefer, you may also use one of the additional options listed below.

DMFEA MAILING ADDRESS

To report suspected Medi-Cal Fraud or Elder Abuse by mail, send a written complaint which includes the information listed above to:

California Department of Justice
Division of Medi-Cal Fraud and Elder Abuse
Complaint Intake Unit
P.O. Box 944255
Sacramento, CA 94244-2550

TELEPHONE NUMBER

To report suspected Medi-Cal Fraud or Elder Abuse by phone, call (800) 722-0432 and be prepared to provide the information listed above.

FAX NUMBER

To report suspected Medi-Cal Fraud or Elder Abuse by Fax, send a written complaint which includes the information listed above to: (916) 731-2194

CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES (DHCS)

For Medi-Cal benefits and services or to report fraud on the part of a Medi-Cal beneficiary, please contact the California Department of Health Care Services at DHCS.CA.GOV or call 1(800) 822-6222.