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Compliance
South Florida Community Care Network Compliance Plan
(SFCCN-NBD, SFCCN-PHT, SFCCN-MHS, CMS Broward Title 19, CMS South Florida Region Title 21, and CMS Southeast Florida Region Title 21)
South Florida Community Care Network Anti-Fraud Plan
(SFCCN-NBD, SFCCN-PHT, SFCCN-MHS, CMS Broward Title 19, CMS South Florida Region Title 21, and CMS Southeast Florida Region Title 21)
South Florida Community Care Network Provider Fraud and Abuse Training
(SFCCN-NBD, SFCCN-PHT, SFCCN-MHS, CMS Broward Title 19, CMS South Florida Region Title 21, and CMS Southeast Florida Region Title 21)
Contact SFCCN or your contracted Subnetwork if you have any information relating to fraud and abuse:
- SFCCN Compliance Officer: (305) 430-2842
- MHS Compliance Unit: (954) 985-5855
- PHT Compliance Unit: (866) 964-1983
- NBHD (aka Broward Health) Compliance Unit: (888) 511-1370
You can also report suspected fraud and abuse directly to the following state and regulatory fraud prevention departments:
- Florida MPI Fraud & Abuse Hotline: (888) 419-3456
- Florida Attorney General Hotline: (866) 966-7226
- DHHS OIG Hotline: (800) 447-8477
You can also complete the Medicaid Fraud and Abuse Complaint Form found here and mail the form to:
Program Administrator, Intake Unit
Medicaid Program Integrity
Agency for Health Care Administration
2727 Mahan Drive, MS #6
Tallahassee, Florida 32308
The Medicaid Fraud and Abuse Complaint Form can also be completed online. For additional information regarding Medicaid’s Fraud and Abuse policies, Provider rights relative to abuse and fraud investigations, Provider responsibilities, etc., provider can access the Medicaid General Provider Handbook.