Fraud, Waste, & Abuse

UCA is committed to preventing Fraud, Waste, and Abuse (FWA).

Contact Information

If you suspect a provider or member of fraud and abuse, please contact us at any of the following methods:

Phone

Customer Care Center: (877) 874-3930; TTY users should dial 711.

Compliance and Audit Department: (520) 874-5075

ComplyLine (anonymous): (888) 747-7989; 24 hours a day/7 days a week

Mail

University Care Advantage
Compliance and Audit Department
2701 E. Elvira Road
Tucson, AZ 85756

Fax

(520) 874-7072

Fraud and Abuse Examples

Examples of Member Fraud and Abuse include but are not limited to:

  • Lending or selling your AHCCCS Identification Card to anyone.
  • Changing prescriptions written by any UCA provider.
  • Giving incorrect information on your AHCCCS application.
  • Providing false materials or documents.
  • Leaving out important information.

Examples of Provider Fraud and Abuse include but are not limited to:

  • Use of the Medicaid system by someone who is inappropriate, unqualified, unlicensed or has lost their license.
  • Providing unnecessary medical services leading to unnecessary costs to the program.
  • Charging for medical services not rendered.
  • Not meeting professional standards for health care.