Pennsylvania Department of Human Services- Bureau of Program Integrity


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Data Provided By
PA211 PA211
General Information
Description of ProgramPrevents, detects, deters, and corrects fraud, abuse, and wasteful practices by providers of medical assistance services, including managed care organizations. They apply administrative sanctions, and refer cases of potential fraud to the appropriate enforcement agency. This responsibility includes evaluating services rendered by medical providers and managed care organization provider networks, monitoring recipient overuse and abuse, and maintaining ongoing working relationships with federal and state enforcement agencies involved in monitoring potential health care fraud and abuse. It is primarily staffed by medical professionals.
LocationDauphin
Geographic AreaAdams County, Allegheny County, Armstrong County, Beaver County, Bedford County, Berks County, Blair County, Bradford County, Bucks County, Butler County, Cambria County, Cameron County, Carbon County, Centre County, Chester County, Clarion County, Clearfield County, Clinton County, Columbia County, Crawford County, Cumberland County, Dauphin County, Delaware County, Elk County, Erie County, Fayette County, Forest County, Franklin County, Fulton County, Greene County, Huntingdon County, Indiana County, Jefferson County, Juniata County, Lackawanna County, Lancaster County, Lawrence County, Lebanon County, Lehigh County, Luzerne County, Lycoming County, McKean County, Mercer County, Mifflin County, Monroe County, Montgomery County, Montour County, Northampton County, Northumberland County, Perry County, Philadelphia County, Pike County, Potter County, Schuylkill County, Snyder County, Somerset County, Sullivan County, Susquehanna County, Tioga County, Union County, Venango County, Warren County, Washington County, Wayne County, Westmoreland County, Wyoming County, York County
Intake ProcedureTo report suspected fraud or abuse of services provided under the Medical Assistance Program, please call or write to the Bureau of Program Integrity at 1-) or write to them.
Funded ByDepartment of Public Welfare
 
Availability
Hours of OperationMonday - Friday 7:30am - 5pm
 
Contact Information
Physical Site Address 1Petry Building, #17, 3rd Floor, DGS Annex Complex
Physical Site Address 2116 East Azalea Drive
Physical Site City, State, ZipHarrisburg, PA 17110-3594
Mailing Address 1P.O. Box 2675
Mailing City, State, ZipHarrisburg, PA 17105-2675
Main Phone866-DPW-TIPS (866-379-8477)
Web Addresswww.dhs.pa.gov
 
Additional Information
Update typeE-mail
 
Affiliated Agency and Services
Affiliated Agency:
Pennsylvania Department of Human Services
This Program: Pennsylvania Department of Human Services- Bureau of Program Integrity
Affiliated Services: PA DHS - Medicare / Charity Care Complaints and Investigations