For Providers

Fraud, Waste & Abuse

Magellan Behavioral Health of Iowa (Magellan) is dedicated to conducting business in an ethical and legal manner. Magellan is committed to preventing, detecting and reporting fraud, waste and abuse across various categories of health care-related fraud (internal fraud, electronic data processing fraud, external fraud).

If you suspect fraud, you are obligated to report it.  Magellan aggressively pursues allegations of health care fraud, waste and abuse.

For more information related to fraud, waste and abuse, including definitions of fraud, what to do if you suspect fraud and other related information, please review the information in the Provider Manual and the other following information:

Provider Handbook Supplement

 Magellan's Special Investigations Unit hotline: 1-800-755-0850

Magellan's Special Investigations Unit e-mail: SIU@MagellanHealth.com

 Magellan's Corporate Compliance hotline: 1-800-915-2108

Magellan's Corporate Compliance Unit e-mail: Compliance@MagellanHealth.com

Reports can also be made directly to the agencies listed below:

a)      Reports can be made to the Iowa Medicaid Enterprise Program Integrity Office:

Report Suspected Medicaid Fraud
Iowa Department of Human Services

Iowa Medicaid Enterprise

Program Integrity Unit

Toll Free - (877) 446-3787

Des Moines area -  (515) 256-4615
Email: SURS@dhs.state.ia.us

The Hot Line is staffed from 8:00 a.m. - 5:00 p.m. Monday-Friday.

b)      Reports can also be made to the Iowa Medicaid Fraud Control Unit:

Department of Inspections and Appeals

Medicaid Fraud Control Unit

515-281-5714

c)      Reports can also be made to the U.S. Department of Health & Human Services Office of Inspector General:

Contact the Office of the Inspector General at 1-800-447-8477or by e-mail to HHSTips@oig.hhs.govor by mail to the address below.

Office of Inspector General
Department of Health & Human Services
ATTN: HOTLINE
PO Box 23489
Washington, DC 20026

The Magellan Corporate Compliance hotline is available 24 hours a day, seven days a week and is maintained by an outside vendor.  Callers may choose to remain anonymous. All calls will be investigated and will remain confidential.

 Magellan Health Fraud and Abuse Hotlines

1-800-638-8820