VFC Fraud and Abuse Reporting
As childhood vaccines become more expensive and immunization programs more complex, the Vaccines for Children (VFC) program becomes more vulnerable to fraud and abuse. The Maine Immunization Program (MIP) takes the potential for these occurrences very seriously. Fraud and abuse incidents occur when:
- A person is knowingly untruthful in order to gain some benefit from the MIP for themselves or another;
- A provider's actions result in unnecessary cost to the Medicaid program, the MIP, an insurance company, or a patient;
- A provider is paid for services that are not medically necessary;
- A provider is paid for services that fail to meet professionally recognized standards for health care;
- A provider engages in any act that constitutes fraud under applicable federal or state law.
The MIP has developed the following process to address suspected cases of fraud and abuse within our VFC program. If you are aware of any of the above actions occurring in a health care setting that provides vaccines under the VFC program, please contact the MIP by phone, fax or email to report the incident. Be assured that your name and other identifying information will not be shared outside the VFC program. We may be reached at:
- Phone: 1-800-867-4775
- Fax: 1-800-437-5743
- Email: firstname.lastname@example.org
If there is no one immediately available at the MIP to take your report, a staff person will contact you to follow up within 24 hours or 2 working days.
Thank you for your help in ensuring that the MIP continues to offer affordable vaccinations to prevent disease in Maine's children.
DHHS Fraud Reporting Form Page: https://www.maine.gov/dhhs/fraud/