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A criminal statute that prohibits the exchange (or offer to exchange), of anything of value, in an effort to induce (or reward) the referral of business reimbursable by federal health care programs. Examples of prohibited kickbacks include receiving financial incentives for referrals, free or very low rent for office space, or excessive compensation for medical directorships. Other kickbacks include waving copayments, either routinely or on a selective case-by-case basis. From their website: The Department of Health Care Services (DHCS) ensures the provision of quality treatment through the enforcement of standards for professional and safe treatment. The Substance Use Disorder (SUD) Compliance Division investigates complaints against California’s alcohol and other drug (AOD) recovery and treatment programs. The SUD Compliance Division also investigates violations of the code of conduct of registered or certified AOD counselors. Alcohol or Drug Abuse Recovery or Treatment Facilities licensed or certified by DHCS are required to report counselor misconduct to DHCS within 24 hours of the violation. There are links for forms you can download along with fax information. Department of Health Care Services Fax form to: (916) 440-5094 Complaints for Residential Adult Alcoholism or Drug Abuse Recovery or Treatment Facilities may also be made by telephoning the appropriate licensing branch listed below: SUD Compliance Division: Public Number: (916) 322-2911 California agency for reporting insurance fraud. From their website: The City of Costa Mesa has created this page as the main source of information regarding the City’s regulation of group homes, including sober living homes, and certain state licensed facilities. The City seeks to ensure a balance between the needs of its residents, who wish to enjoy the peace and quiet of their homes in a traditional residential neighborhood and the needs of those living in residential recovery facilities to enjoy this same quality of life that Costa Mesa has to offer. Visit the site for more information. The Coalition Against Insurance Fraud is America’s only anti-fraud alliance speaking for consumers, insurance companies, government agencies and others. Through its unique work, the Coalition empowers consumers to fight back, helps fraud fighters better detect this crime and deters more people from committing fraud. The Coalition supports this mission with a large and continually expanding armory of practical tools: Information, research & data, services and insight as a leading voice of the anti-fraud community. (from their website) The Medical Board is responsible for reviewing and investigating complaints about, and disciplining the following medical professions: Further, the Board’s staff also reviews and investigates complaints about Doctors of Podiatric Medicine and Physician Assistants; however, any disciplinary action taken against one of these licensees is decided by the licensing Board/Bureau for that profession. If an individual or organization appears to have violated the laws within the Board’s jurisdiction, Board staff will investigate the allegations and charges may be filed. Following are the types of complaints reviewed by the Board: Formed in 1993, NAMSDL began as the President’s Commission on Model State Drug Laws. This congressionally-established commission was charged with creating a model code of laws to help states effectively address alcohol and other drug abuse. Of particular interest is their Model Patient Protection & Treatment Ethics Actc A model law outlawing unethical “treatment providers” who are preying on those suffering with SUDs and their families to fiscally exploit them and their health insurers without providing real treatment, through patient brokering, website hijacking, kickbacks and other illegal means. LINK TO ACT: https://namsdl.org/wp-content/uploads/Model-Patient-Protection-and-Treatment-Ethics-Act.pdf If a person needs substance use disorder treatment, getting them the care they need when they need it is crucial. Unfortunately, there are individuals taking advantage of the current heroin and opioid epidemic by profiting off of people in need of treatment. These individuals, known as body brokers, work independently or as employees of treatment providers to direct patients into programs that provide little to no treatment. Their services are offered to those with private insurance that include out of network coverage. New York State is intensely focused on stopping this predatory practice, and you can help. If you or someone you know has been impacted by a body broker, contact StopTreatmentFraud@oasas.ny.gov.
Substance Use Disorder Services
P.O. Box 997413
MS# 2601
Sacramento, CA 95899-7413
Toll Free Number: (877) 685-8333
Substance Use Disorder Services
P.O. Box 997413
MS# 2601
Sacramento, CA 95899-7413
95899-7413
Fraud Division
9342 Tech Center Drive, Suite 100
Sacramento, CA 95826
95826
20005
95899-7413
Central Complaint Unit
2005 Evergreen Street, Suite 1200
Sacramento, CA 95815
95815
1335 North Front Street, First Floor
Harrisburg, PA 17102
17102
