Louisiana Department of Health & Hospitals | Bruce Greenstein, Secretary
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About Medicaid
For Children & Families
For Women
For Long-Term Care
For Providers
Public-Private Partnerships
Medicaid Behavioral Health
Report Abuse or Neglect
Provider Fraud Form
Provider's Name:
(First Name)
(Last Name)
Provider's Gender:
Male
Female
Provider's Business:
Type of Business:
Medicaid Number:
Provider's Telephone Number:
(Please enter the phone number in XXX-XXX-XXXX format)
Provider's Address:
City:
State:
Zip Code:
Suspected Fraud:
You are able to report suspected fraud complaints anonymously. But, if you would like the Medicaid Fraud Complaints Unit to contact you, please complete the fields below.
Name:
Telephone Number:
E-Mail Address:
