• Division of Medical Assistance Home
• What is Medicaid?
• Who is eligible?
• How to apply
• Contacts
• Your Rights

• For Current Medicaid Recipients
• Find a doctor
• Managed Care
• Medicaid Deductible
• Medicaid Identification (MID) Card

DHHS Customer Service - Voice your opinion

Medicaid Contacts

• CARE-LINE Information and Referral Service: 1-800-662-7030 (English, Spanish), or, (919) 855-4400 in Wake County (24 hours, 7 days a week). 
• County Department of Social Services (DSS)
• Find a NC Medicaid Provider
• For Baby Love or Health Check, you can also call the NC Family Health Resource Line at 1-800-FOR BABY or 1-800-367-2229 Monday-Friday 8:00 a.m. to 5:00 a.m., except for State holidays.
• Report Fraud and Abuse
• Complaints

Fraud and Abuse

Medicaid fraud and abuse is when a person knowingly cheats or is dishonest.  The dishonesty results in a benefit such as payment or coverage.

Examples of Medicaid fraud and abuse:

• An individual does not report all income when applying for Medicaid.
• An individual does not report other insurance when applying for Medicaid.
• A non-recipient uses a recipient's card with or without the recipient's knowledge.
• A provider’s credentials are not accurate.
• A provider bills for services which were not rendered.
• A provider performs and bills for services not medically necessary.

Reporting Provider Fraud and Abuse

You are encouraged to report matters involving Medicaid fraud and abuse. If you want to report fraud or abuse, you can remain anonymous.  However, sometimes in order to conduct an effective investigation, staff may need to re-contact you. Your name will not be shared with anyone investigated. (In rare cases involving legal proceedings, we may have to reveal who you are.)

To Report Provider Fraud and Abuse

• Contact the North Carolina Division of Medical Assistance’s Program Integrity section.  Call the CARE-LINE Information and Referral Service at 1-800-662-7030 and ask for the DMA Program Integrity Section, or
• Call the Health Care Financing Administration Office of Inspector General's Fraud Line at 1-800-HHS-TIPS or
• Call the State Auditor's Waste Line: 1-800-730-TIPS, or
• Call the Attorney General's Medicaid Investigations Unit at (919) 881-2320.

To Report Recipient Fraud and Abuse

• Call your County Department of Social Services (DSS) office.

Concerns/Complaints

If you have been denied benefits and disagree with this decision, you may ask for an appeal. Contact your worker at the Department of Social Services who sent the letter denying benefits.  If you are uncertain whom to call, contact the CARE-LINE Information and Referral Service: 1-800-662-7030, or, (919) 855-4400 in Wake County.

Medicaid recipients are entitled to have their medical information be kept private. See Notice of Privacy Practices (DMA-2188).