Resource Directory

Welcome to our Resource Directory! If you have an entry you’d like to add, please do so here and, once approved, we will include it in the directory!

 

Resource / Agency Description:

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.

Resource / Agency Website Address: https://www.law.cornell.edu/uscode/text/42/1320a-7b
Address: Department of Health Care Services
Substance Use Disorder Services
P.O. Box 997413
MS# 2601
Sacramento, CA 95899-7413
95899-7413
Resource / Agency Description:

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
Substance Use Disorder Services
P.O. Box 997413
MS# 2601
Sacramento, CA 95899-7413

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
Toll Free Number: (877) 685-8333

Resource / Agency Phone Number: (877) 685-8333
Resource / Agency Fax: (916) 440-5094
Address: California Department of Insurance
Fraud Division
9342 Tech Center Drive, Suite 100
Sacramento, CA 95826
95826
Resource / Agency Description:

California agency for reporting insurance fraud.

Resource / Agency Website Address: https://www.insurance.ca.gov/
Resource / Agency Phone Number: 1-800-927-4357
Resource / Agency Description:

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.

 

Resource / Agency Website Address: https://costamesaca.gov/index.aspx?page=2116
Resource / Agency Phone Number: (714) 754-5623
Address: 1012 14th Street, NW, Suite 200, Washington, DC 20005
20005
Resource / Agency Description:

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.

Resource / Agency Website Address: http://www.insurancefraud.org
Resource / Agency Phone Number: 202-393-7330
Resource / Agency Description:
Manual of Policies and Procedures
COMMUNITY CARE LICENSING DIVISION
ADULT RESIDENTIAL FACILITIES
Title 22, Division 6, Chapter 6
STATE OF CALIFORNIAHEALTH AND HUMAN SERVICES AGENCY
DEPARTMENT OF SOCIAL SERVICES
Great reference material
Address: Medical Board of California
Central Complaint Unit
2005 Evergreen Street, Suite 1200
Sacramento, CA 95815
95815
Resource / Agency Description:

(from their website)

The Medical Board is responsible for reviewing and investigating complaints about, and disciplining the following medical professions:

  • Licensed Physicians & Surgeons
  • Licensed Midwives
  • Research Psychoanalysts and Student Research Psychoanalysts
  • Registered Polysomnographic Trainees, Technicians, and Technologists
  • Outpatient Surgery Settings (within the Board’s jurisdiction)

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:

  • Substandard Care (e.g., misdiagnosis, negligent treatment, delay in treatment, etc.)
  • Prescribing Issues (violation of drug laws, excessive/under prescribing)
  • Sexual Misconduct
  • Impairment (drug, alcohol, mental, physical)
  • Unlicensed practice, or aiding and abetting unlicensed practice
  • Unprofessional Conduct (e.g., breach of confidence, record alteration, filing fraudulent insurance claims, misleading advertising, arrest or conviction)
  • Office Practice Issues (e.g., failure to provide medical records to patient, failure to sign death certificate, patient abandonment)
Resource / Agency Website Address: http://www.mbc.ca.gov/Consumers/Complaints/
Resource / Agency Phone Number: 1-800-633-2322
Resource / Agency Fax: (916) 263-2435
Address: NAMSDL Headquarters Office
1335 North Front Street, First Floor
Harrisburg, PA 17102
17102
Resource / Agency Description:

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

Resource / Agency Website Address: https://namsdl.org/
Resource / Agency Phone Number: 703.229.4954
Resource / Agency Description:

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.

Address: 401 Civic Center Drive West
Santa Ana, California 92701
92701
Resource / Agency Description:

The Orange County District Attorney’s Office (OCDA) Sober Living Home Investigation and Prosecution Project (SLIP) investigates reports of criminal and civil violations related to and surrounding Sober Living Homes and Addiction and Treatment or Recovery Centers.  In conjunction with our regulatory, administrative, and law enforcement partners, the OCDA gathers reports, investigates incidents, refers cases to partner agencies and prosecutes cases criminally or civilly when appropriate.

If you feel you have been the victim of or have information regarding possible criminal or civil misconduct by or surrounding a Sober Living Home, an Addiction and Treatment or Recovery Center, please use one of the SLIP-R (Sober Living Home Investigation and Prosecution Project – Referral) forms below.  You may complete and submit the online form at the bottom of the page, download and fill out the form in the link below and return it by email to Rick.Bradley@da.ocgov.com, or call our 24 hour SLIP TIP line at 714-647-3228.  All contact information, links and forms are provided below.

VISIT LINK FOR REPORTING FORM AND FURTHER INFORMATION.

Resource / Agency Website Address: http://orangecountyda.org/howdoi/soberliving.asp
Resource / Agency Phone Number: 714-647-3228

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