Report Fraud

The following links will assist you in order to ensure specific types of fraud, waste or abuse complaints or cases of suspected fraud, waste or abuse can be submitted to Connecticut state agencies that administer specific programs or have jurisdiction to enforce specific laws related to these programs.

I Want To Report Fraud, Waste or Abuse Related To:

Office of the Connecticut Attorney General: Antitrust and Government Program Fraud Department
Phone: (860) 808-5354
E-mail: ag.fraud@ct.gov

• Income Tax Fraud
• Sales & Use Tax Fraud
• Tax Return Fraud

Conduct that constitutes potential violations of the Connecticut Antitrust Act includes, but is not limited to:

• Price fixing agreements (an agreement among competitors to raise, fix, or otherwise maintain the price at which their goods or services are sold)
• Bid rigging agreements (i.e., bid suppression, "cover" bids or bid rotation schemes)

Customer to Territorial Allocation Agreements – these schemes, sometimes known as “property rights” systems, are agreements in which competitors divide markets among themselves. In such schemes, competing firms allocate among themselves specific customers or types of customers, products, or geographic territories.

Conduct that constitutes fraud, waste or abuse includes, but is not limited to:

• Billing for services not rendered
• Providing unnecessary services
• Billing for non-covered services as covered services
• Billing for more expensive services than those that are necessary (“upcoding”)
• Billing separately for services that should be bundled together at a lower rate ("unbundling")
• Duplicate billing
• Altering a claim, or altering a document support a claim like a certificate of medical necessity Falsifying cost reports
• Providing or receiving something of value (cash, gifts, services) in return for services or referrals for services (i.e. kickbacks)
• Billing for brand-name drugs when generic drugs are dispensed

Competition among businesses generally leads to higher quality products and lower prices for consumers. Unfair competition refers to business practices that are misleading, deceptive or that otherwise undermine informed consumer choice. Such conduct deprives consumers of the benefits of a competitive market and unfairly disadvantage businesses that play by the rules.

Examples include:

• Staging Accidents
• Physicians who bill for but do not render services
• Injured workers who collect temporary total benefits for their state job yet work another job
• Billing for more time than was actually spent with a patient or double billing

Department of Social Services Programs Mental Health or Substance Abuse Prevention Programs

Department of Developmental Services (DDS) Programs

• Billing DDS for services not provided.
• Double Billing DDS or DDS individuals for the same service paid by another program.
• Using DDS funds to purchase items that are not DDS allowed by DDS.
• Charging DDS individuals higher rates than those established by DDS.
• Abuse or Neglect of a person with intellectuals and developmental disabilities.

Children and Family Services Programs

Health Care:
Office of the Connecticut Attorney General: Antitrust and Government Program Fraud Department
Phone: (860) 808-5354
E-mail: ag.fraud@ct.gov
Link: https://www.ct.gov/ag/cwp/view.asp?a=2205&Q=518420

State of Connecticut Division of Criminal Justice, Medicaid Fraud Control Unit
Phone: (860) 258-5986
Link: https://www.ct.gov/csao/cwp/view.asp?a=1798&q=285772

Department of Social Services
Phone: (800) 842-2155
E-mail: providerfraud.dss@ct.gov
Link: https://www.ct.gov/dss/cwp/view.asp?a=2353&Q=421878

Connecticut State Employee/Retiree Health Care Programs:
Office of the Connecticut Attorney General: Antitrust and Government Program Fraud Department
Phone: (860) 808-5354
E-mail: ag.fraud@ct.gov
Online Form: https://www.ct.gov/ag/cwp/view.asp?a=2205&q=518212

Taxes:
Department of Revenue Services
E-mail: DRS.ReportTaxFraud@po.state.ct.us
Link: https://www.ct.gov/drs/cwp/view.asp?a=3863&q=480132

Antitrust Violations:
Office of the Connecticut Attorney General: Antitrust and Government Program Fraud Department
Phone: (860) 808-5040
E-mail: michael.cole@ct.gov
Link: https://www.ct.gov/ag/cwp/view.asp?a=2205&Q=559544

Unfair Competition:
Department of Consumer Protection
Phone: (800) 842-2649
E-mail: dcp.frauds@ct.gov
Link: https://www.ct.gov/dcp/cwp/view.asp?a=4332&q=509962 (Frauds Division) 
https://www.ct.gov/dcp/cwp/view.asp?a=1629&q=431552 (Consumer Scams)

Department of Administrative Services:
Phone: (800) 927-0456
Link: https://portal.ct.gov/DAS/Workers-Comp/DAS-Workers-Compensation/Report-Workers-Compensation-Fraud

Developmental Services Programs:
Department of Developmental Services Fraud
Phone: (860) 418-6077 or (860) 418-6109
Fax: (860) 418-6001
Fraud: https://www.ct.gov/dds/cwp/view.asp?a=2160&Q=558490

Abuse and Neglect: https://www.ct.gov/dds/cwp/view.asp?a=3&Q=386030

Mental Health and Addiction Services Programs:
Department of Mental Health & Addiction Services
Phone: (860) 418-6798
E-mail: william.quinn@ct.gov 
Link: https://www.ct.gov/dmhas/cwp/view.asp?a=2900&q=428356

Children and Family Services Programs:
Department of Children & Families
Link: https://www.ct.gov/dcf/cwp/view.asp?a=2639&Q=470974