El Paso First Health Plans, inc.
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  Fraud & Abuse

El Paso First Health Plans, Inc. has implemented a Fraud, Waste & Abuse program as required by law. If you suspect that a person or entity has acted in a possible fraudulent, wasteful, or abusive manner please report such actions to our Fraud Hotline (toll free) at 1 866-356-8395.

If you prefer to enter allegations on line click on the following site https://oig.hhsc.state.tx.us/WAF/

  • Identifying Inappropriate Claims Before They Are Paid
  • DPS launches secure online Rx monitoring
  • National Medicaid Audit Program
  • OIG Medicaid Integrity Report
  • Frequently Asked Questions: Payment Holds Due to a Credible Allegation of Fraud
  • Office of Inspector General
  • Medicaid Managed Care Organizations Must Maintain Special Investigative Units
  • Drug Diversion in the Medicaid Program
  • Roadmap for New Physicians Avoiding Medicare and Medicaid Fraud and Abuse

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    Your health information (Protected Health Information “PHI” and “sensitive personal information”) created or received by El Paso First Health Plans, Inc.
    is subject to electronic disclosure.