Federal rules require that Medicaid recipients take steps to prevent fraud
and abuse of the program. These steps include:
- Keeping their Medicaid identification card in a safe place
- Not selling, loaning or altering their Medicaid card in order
to obtain services for others
- Following the rules for Medicaid and the doctor's/clinic's
office
- Telling Medicaid about third party insurance or payments
- Notifying Medicaid of any changes in income, living
arrangements or resources
All cases of suspected fraud, abuse or
misuse by recipients are investigated by the
Alabama Medicaid Agency. Recipients who are
proven to have abused or misused the
Medicaid programs may be "locked in" to one
doctor and one drug store, be required to
repay the agency for any misspent funds
and/or may be suspended from the program for
at least one year and until full restitution
is made.