Problem Reporting

Programs that accept fraud- or problem-reporting or complaints with various issues, including government programs and businesses

If you know of a Service that should be listed but isn't, please Suggest a New Provider. If you find errors in a listing, please let us know by using the "Suggest an Edit" form on the provider's detail page.

ID

Statewide

1220 W. Hays
Boise, ID 83702
Phone: 208-343-7543
Service Categories:
Organization Name: American Dental Association
(Show others in Organization)
Address:
1220 W. Hays
Boise, ID 83702
Phone: 208-343-7543
Fax: 208-343-0775
Service Categories:
Eligibility: Contact for more information.
Services Provided: Accepts and reviews complaints concerning quality and appropriateness of care about member dentists.

DO NOT PROVIDE REFERRAL SERVICE!
Source: Idaho Careline 211
Last Updated: 1/9/2020

Boise, ID

954 W. Jefferson
2nd Floor
Boise, ID 83720-0010
Phone: 208-334-2424
Service Categories:
Organization Name: Idaho Office of Attorney General
(Show others in Organization)
Address:
954 W. Jefferson
2nd Floor
Boise, ID 83720-0010
Phone: 208-334-2424
Fax: 208-334-4151
Service Categories:
Eligibility: Anyone needing assistance with Consumer Protection issues
Services Provided: Enforces various consumer laws, including: Consumer Protection Competition Act, Telephone Solicitation, Pay-Per-Telephone Call and Charitable Solicitation. Protects consumers, businesses and the marketplace from unfair or deceptive acts and practices - through education, mediation and enforcement, enforces and defends the state's Master Settlement Agreement with the tobacco industry
Source: Idaho Careline 211
Last Updated: 9/10/2019
Organization Name: Health & Welfare, Division of Medicaid
(Show others in Organization)
Address:
3232 Elder Street
Boise, ID 83705
Phone: 208-334-6626
Fax: 208-364-1888
Eligibility: Available to all
Services Provided:

The Bureau of Facility Standards serves and protects Idahoans requiring health-related services, supports and supervision in care facilities by:
*Promoting each individual's rights, well-being, safety, dignity, and highest level of functional independence;
*Enforcing compliance with state rules and federal regulations; and
*Providing information and education.
*We license and certify health care providers/suppliers following state and federal regulatory requirements, as applicable. We also conduct complaint investigations relating to these providers/suppliers.
The website has a provider/supplier list including: Ambulatory Surgery Centers,Home Health Agencies, Hospices, Hospitals, Intermediate Care Facilities for Persons with Intellectual Disabilities (ICF/ID),Long Term Care Facilities, and Rural Health Clinics. They are listed alphabetically or by region.

CNA Registry - Certified Nursing Assistant Registry is part of the Bureau of Facility Standards.

The Home Health Hotline was established for the purpose of receiving complaints or questions about local Home Health Agencies.

The Bureau is administered by the Division of Licensing and Certification.

Source: Idaho Careline 211
Last Updated: 9/17/2020
3232 Elder St
Boise, ID 83705
Phone: 208-364-1899
Service Categories:
Organization Name: Medicaid, Bureau of Financial Operations
(Show others in Organization)
Address:
3232 Elder St
Boise, ID 83705
Phone: 208-364-1899
Service Categories:
Services Provided: A Long Term Care Facilities design and function is to meet the health needs of two or more elderly or disabled individuals who, at a minimum, require inpatient care and services, for twenty-four or more consecutive hours.

Inpatient care is necessary for unstable or chronic health problems requiring:
•Daily professional nursing supervision and licensed nursing care
•Restorative care
•Rehabilitative care
•Assistance in meeting daily living needs

Medical supervision is necessary on a regular, but not daily, basis.

Payment Source Types:
•Skilled Nursing Facility (SNF) - Medicare-only and private pay
•Nursing Facility (NF) - Medicaid-only and private pay
•Skilled Nursing Facility & Nursing Facility (SNF/NF) - Both Medicare & Medicaid and private pay
Source: Idaho Careline 211
Last Updated: 11/2/2018
700 W Jefferson St
Suite 210
Boise, ID 83720-0010
Phone: 208-334-4100
Service Categories:
Organization Name: Office of the Attorney General
(Show others in Organization)
Address:
700 W Jefferson St
Suite 210
Boise, ID 83720-0010
Phone: 208-334-4100
Fax: 208-854-8082
Service Categories:
Eligibility: Contact for specific information.
Services Provided: The Medicaid Fraud Control Unit investigates and prosecutes: Allegations of Medicaid fraud by health care providers; allegations of abuse and neglect of patients in health care facilities that receive Medicaid; and allegations of misuse of patient funds by those facilities.
Source: Idaho Careline 211
Last Updated: 9/10/2019
3232 Elder
Boise, ID 83705
Phone: 208-334-5747
Service Categories:
Organization Name: Health & Welfare, Division of Medicaid
(Show others in Organization)
Address:
3232 Elder
Boise, ID 83705
Phone: 208-334-5747
Fax: 208-322-7280
Service Categories:
Eligibility: Administrative Office
Services Provided:

The goal of the Medical Care Unit is to ensure that appropriate medical services are provided in accordance with state and federal regulation, statutes, and policies.
The Medical Care Unit is responsible for the service areas listed below:
***Disease Management
***Durable Medical Equipment
***Therapy Services
***Ambulance Authorizations
***Hospice
***Surgery
***Breast and Cervical Cancer
***Vision
***Dental
***Lead Screening Program
Program is administered by the Division of Medicaid.

Source: Idaho Careline 211
Last Updated: 9/17/2020
Organization Name: Health & Welfare, Division of Medicaid
(Show others in Organization)
Address:
Boise, ID 83720
Phone: 208-334-5754
Fax: 208-334-2026
Service Categories:
Services Provided: Any intentional action which causes a participant or welfare provider to receive benefits to which they are not entitled.

Web Link to Idaho Medicaid Provider Exclusion List.
Source: Idaho Careline 211
Last Updated: 9/10/2019
450 W State St
Boise, ID 83720
Phone: 800-726-2952
Service Categories:
Organization Name: Health & Welfare, Idaho Department of
(Show others in Organization)
Address:
450 W State St
Boise, ID 83720
Phone: 800-726-2952
Service Categories:
Eligibility: None
Services Provided:

A statewide Health and Welfare unit which coordinates collection efforts for over payments DHW customers may have received and assists customers in making repayment plans. Program is administered by the Division of Management Services.

Source: Idaho Careline 211
Last Updated: 9/17/2020
Organization Name: Insurance, Idaho Department Of
(Show others in Organization)
Address:
700 W State St
Boise, ID 83720
Phone: 800-247-4422
Eligibility: Senior citizens and families of seniors
Services Provided: SHIBA is part of a network of state health insurance programs (SHIP) across the United States and its territories. In Idaho, SHIBA is funded by the Centers for Medicare and Medicaid Services (CMS), the federal agency which administers the Medicare program, and the Idaho Department of Insurance.

SHIBA is a part of the Department of Insurance, Consumer Affairs, which:

Investigates claims and insurance fraud
Provides advocacy services for consumers
Provides assistance with insurance problems or questions on life, disability, long term care, property, casualty, and health insurance
We offer free and unbiased information, counseling, and assistance regarding senior health insurance. We do not sell insurance, recommend policies, agents, or specific companies. It is our goal to provide you with up-to-date and objective information to assist you in making informed buying decisions.

Also known as SHIP - Senior Health Insurance Program.

BOISE
Toll Free 1-800-247-4422

COEUR D'ALENE
Local phone number (208) 666-6847
Toll Free 1-800-247-4422

POCATELLO
Local phone number (208) 236-6044
Toll Free 1-800-488-5764
Source: Idaho Careline 211
Last Updated: 1/9/2020

Idaho State House, ID

700 West State St
Idaho State House, ID 83720
Phone: 208-334-4250
Service Categories:
Address:
700 West State St
Idaho State House, ID 83720
Phone: 208-334-4250
Service Categories:
Services Provided: A hard copy of the complaint form can be found at the Department of Insurance web site. Print it out, fill out and mail in as instructed.
Source: Idaho Careline 211
Last Updated: 1/9/2020

Nationwide

1200 New Jersey Avenue, SE
Washington, DC 20590
Phone: 800-778-4838
Service Categories:
Organization Name: US Department of Transportation
(Show others in Organization)
Address:
1200 New Jersey Avenue, SE
Washington, DC 20590
Phone: 800-778-4838
TDD: 800-455-9880
Toll Free Phone: 800-778-4838
Service Categories:
Services Provided:

Air travelers who experience disability-related problems may also call DOT’s toll-free hotline for air travelers with disabilities 1-800-778-4838 or 1-800-455-9880 (TTY) to obtain assistance.  The hotline will provide general information about the rights of air travelers with disabilities, respond to requests for printed consumer information, and assist air travelers with disabilities with time-sensitive disability-related issues.  The hours for the hotline are 9 a.m. to 5 p.m. Eastern time, Monday through Friday, except federal holidays.

Source: MHP-Nationwide
Last Updated: 6/22/2020
4330 East West Hwy.
Rm. 820
Bethesda, MD 20814
Phone: 800-638-2772
Address:
4330 East West Hwy.
Rm. 820
Bethesda, MD 20814
Phone: 800-638-2772
TDD: 800-638-8270
Fax: 301-504-0025
Services Provided: A variety of consumer health and safety information, including:
-Information about recalls and recall alerts
-Regulatory and business resources
-Safety education materials
-Product complaint reporting
Source: Nationwide Suggest Providers Queue
Last Updated: 1/24/2020
Address:
1100 13th St., NW Suite 1000
Washington, DC 20005
Phone: 202-955-3500
Services Provided:

Education and Training: To improve health care quality, NCQA offers professional development to become a Patient-Centered Medical Home Certified Content Expert. See website for comprehensive knowledge of the requirements, the application process and the documentation of the NCQA PCMH Recognition Program.

Directory of Patient Centered Medical Homes (PCMH): Search by location or specialty. Also offers accreditation and training for health care plans and clinics.


Fraud Reporting: options for reporting “Falsified Document” or “Fraudulent Information” reported to NCQA.

Source: MHP-Nationwide
Last Updated: 8/18/2020
1200 New Jersey Ave SE
Washington, DC 20590
Phone: 888-327-4236
Organization Name: United States Department of Transportation
(Show others in Organization)
Address:
1200 New Jersey Ave SE
Washington, DC 20590
Phone: 888-327-4236
TDD: 800-424-9153
Toll Free Phone: 888-327-4236
Eligibility: Contact for specific information.
Services Provided:

The mission of NHTSA is to save lives, prevent injuries, and reduce economic costs due to road traffic crashes, through education, research, safety standards, and enforcement.

Check on recalls and reports of issues online.

File a complain online or via the Vehicle Safety Hotline.

Online resources for finding the right car seat or booster seat.

SaferCar App: Download the app, load your vehicle and equipment (car seats, tires) information, be alerted if there are recalls on any of your items.

Source: Nationwide Suggest Providers Queue
Last Updated: 9/18/2020
200 Independence Ave SW
Washington, DC 20201
Phone: 800-368-1019
Service Categories:
Organization Name: US Department of Health and Human Services
(Show others in Organization)
Address:
200 Independence Ave SW
Washington, DC 20201
Phone: 800-368-1019
TDD: 800-537-7697
Service Categories:
Services Provided:

Information about Health Information Privacy for individuals and professionals. Process for filing a complaint related to HIPAA Rules violations.

Source: Nationwide Suggest Providers Queue
Last Updated: 9/4/2020
P O Box 17785
Baltimore, MD 21235
Phone: 800-269-0271
Service Categories:
Organization Name: Social Security Administration
(Show others in Organization)
Address:
P O Box 17785
Baltimore, MD 21235
Phone: 800-269-0271
TDD: 866-501-2101
Fax: 410-597-0118
Service Categories:
Services Provided: Submit fraud, waste, or abuse for social security, including:
-Social Security phone scams
-Other Fraud, Waste, and Abuse
Source: Nationwide Suggest Providers Queue
Last Updated: 1/24/2020
200 Independence Ave SW
Washington, DC 20201
Phone: 877-696-6775
Service Categories:
Address:
200 Independence Ave SW
Washington, DC 20201
Phone: 877-696-6775
Service Categories:
Services Provided:

Contact for all social services, for illegal practices, etc.

Source: Idaho Careline 211
Last Updated: 8/31/2020
10903 New Hampshire Ave
Silver Spring, MD 20993-0002
Phone: 8004636332
Address:
10903 New Hampshire Ave
Silver Spring, MD 20993-0002
Phone: 8004636332
Toll Free Phone: 800-4636332
Services Provided: The FDA is responsible for protecting the public health by assuring the safety, efficacy, and security of human and veterinary drugs, biological products, medical devices, our nations food supply, cosmetics, and products that emit radiation. The FDA is also responsible for advancing the public health by helping to speed innovations that make medicines and foods more effective, safer, and more affordable; and helping the public get the accurate, science-based information they need to use medicines and foods to improve their health.
Source: Nationwide Suggest Providers Queue
Last Updated: 4/17/2020