Fraud, waste and abuse

You have the right to report anyone that you believe is committing fraud, waste or abuse against the Medi-Cal system.

Who do I send my report to?

If you suspect fraud, waste or abuse related to your Aetna Better Health^® of California coverage, you can:

Fill out our online fraud, waste and abuse form.

File now

Report suspected cases to Aetna Better Health of California's Fraud and Abuse hotline:

1-855-321-3727 (TTY: 711)

Report suspected cases to the state of California's Medicaid Fraud and Abuse hotline:

You can mail your report to:

Aetna Better Health of California
Attn: Special Investigations Unit
10260 Meanley Drive
San Diego, CA 92131

Provider fraud, waste and abuse includes:

Falsifying medical records
Prescribing more medication than is medically necessary
Giving more health care services than medically necessary
Billing for services that were not rendered
Billing for items not provided
Billing for professional services when a medical professional did not perform the service

Member fraud, waste and abuse includes:

Lending, selling or giving a health plan ID card or Medi-Cal Benefits Identification Card (BIC) to someone else
Getting similar or the same treatments or medicines from more than one provider
Going to an emergency room when it is not an emergency
Using someone else’s Social Security number or health plan ID number
Receiving money or gifts in exchange for having medical services