Corporate Compliance

California to give Medicare fraud tipsters up to $1,000 for leads

Health Care Auditing Strategies, August 1, 2005

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Smalltime whistleblowers who provide information about schemes to defraud California's healthcare program can now receive up to $1,000 without filing a qui tam lawsuit.

Attorney General Bill Lockyer launched the reward-for-information program to crack down on fraud against the Medi-Cal program, California's Medicaid equivalent.

Under the plan, the government will mail leaflets to Medi-Cal's 6.8 million recipients that explain how to look for fraud and how to report it. Rewards will be as high as $1,000 for information leading to the arrest and conviction of providers who defraud the system.

The rewards program is probably the only one of its kind in the country, but that may change. Officials from several states have called to ask for more information about the program, although an exact list of states is not available, says Collin Wong-Martinusen, director of the Attorney General's Bureau of Medical Fraud and Elder Abuse.

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