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Report Fraud, Waste and Abuse

Sunshine Health is serious about finding and reporting times that Florida Medicaid funds are used in the wrong way. This is called waste, fraud or abuse.

To report waste, abuse, or fraud, gather as much information as possible.

When reporting about a provider  (a doctor, dentist, counselor, etc.) include: 

  • Name, address, and phone number of provider
  • Name and address of the facility (hospital, nursing home, home health agency, etc.)
  • Medicaid number of the provider and facility, if you have it
  • Type of provider (doctor, dentist, therapist, pharmacist, etc.)
  • Names and phone numbers of other witnesses who can help in the investigation
  • Dates of events 
  • Summary of what happened

When reporting about someone who gets benefits, include: 

  • The person’s name
  • The person’s date of birth, Social Security Number, or case number if you have it 
  • The city where the person lives 
  • Specific details about the waste, abuse, or fraud

Potential Fraud, Waste or Abuse reporting may be called to Sunshine Health's anonymous and confidential hotline at 1-866-685-8664 or by contacting the Compliance Officer at 1-855-463-4100. You may also send an email to Compliancefl@centene.com

To report suspected fraud, waste, abuse, or neglect in the Medicaid, Long Term Care or Florida Healthy Kids programs, please use one of the following avenues: