Medicaid Inspector General Complaint Form

Citizens may report to the OMIG concerns about suspected fraud, waste, abuse, or illegal acts involving KanCare, MediKan, or SCHIP. All complaints received by the OMIG concerning those programs are reviewed by OMIG staff and may become part of an audit or investigation.

The identity of any person submitting a report concerning fraud, waste, abuse, or illegal acts involving the KanCare, MediKan, or SCHIP programs shall remain confidential unless that person consents in writing to the disclosure of their identity. All information received by the OMIG about suspected fraud, waste, abuse, or illegal acts shall not be made public unless:

  • Release of the information would not result in the identification of the person who provided the information;
  • the person or persons who provided the information to be disclosed consent in writing prior to its disclosure;
  • the disclosure is necessary to protect the public health; or
  • the information to be disclosed is required in an administrative proceeding or court proceeding and appropriate provision has been made to allow disclosure of the information without disclosing to the public the identity of the person or persons who reported such information to the Inspector General.1

1. K.S.A. 75-7427(k)(1)↩


If your complaint involves fraud, waste, abuse, or illegal acts involving the KanCare, MediKan, or SCHIP programs, please complete the form below.

Source of Referral

Would you like your identity to remain confidential?
Note: Failure to supply contact information may result in no action being taken on this matter.

Information about the person who has or may be committing fraud

Information regarding the known or suspected fraud

Include as much information as possible, including witness names and contact information.

Attachments

SECURITY NOTICE: The documents you attach are being sent over the internet. Please DO NOT attach any documents that contain the following:
  • Social security numbers
  • Date of birth
  • Passwords
  • Sensitive or identifying information that could be used to compromise or steal your identity, or
  • Other information that may violate your privacy.
Please be sure to tell us about all of the documents that may support your allegations in the sections above.

If we need additional information from you, we will:
  • Contact you directly
  • Tell you what documents we need, and
  • Arrange for you to provide it to us in a more secure manner.
Upload Files
Acceptable file types include PDF, JPEG, WAV and MP3.

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