What to do if you suspect fraud, waste, and/or abuse of Medicaid or Medicare funding:
For ISK Staff and Providers
At ISK, we believe our employees and contracted providers should be able to voice concerns about fraud, waste, abuse, conflicts of interest, or other violations of policy without fear of retaliation. With the Compliance Hotline you can report your concerns anonymously to help maintain an ethical workplace without fear of reprisal. Every employee throughout Integrated Services of Kalamazoo and the contracted provider network is responsible for reporting any act of fraud or abuse. In fact, if you know of a wrongful act and you fail to report it, you too could be held responsible. Employees are protected as “whistleblowers” by the False Claims Act against retaliation for reporting a concern in good faith about a suspected violation. All reports will remain confidential and can be filed in person, in writing or verbally.
To report suspected compliance violations, you can use ISK’s Compliance Violation Reporting Form (Procedure Exhibit 10.02_01B). To access it, click here, then click the “+” sign next to “Provider PDFs” and select “Exhibits.” Then find and select Exhibit 10.02_01B.
Or you can contact:
- Your supervisor/manager
- Corporate Compliance Officer: 269-364-6986
- Compliance Email: compliance@iskzoo.org (Internal email is not anonymous)
- Anonymous Compliance Hotline: 866-939-4823
- MDHHS-OIG Medicaid Fraud & Abuse Hotline: 855-MI-FRAUD (643-7283)
For Community Members, Individuals Receiving Services, Family, Etc.:
Members of the community may report compliance allegations and concerns even if they’re not an ISK employee or contracted provider.
If you suspect any fraud, waste, or abuse of public funding, you can file a report using ISK’s Compliance Stakeholder Complaint Notification Form (Procedure Exhibit 10.02_01D). To access it, click here, then click the “+” sign next to “Provider PDFs” and select “Exhibits.” Then find and select Exhibit 10.02_01D.
Or you may use any of the following contact methods:
- Corporate Compliance Officer: 269-364-6986
- Compliance Email: compliance@iskzoo.org (Internal email is not anonymous)
- Anonymous Compliance Hotline: 866-939-4823
- MDHHS-OIG Medicaid Fraud & Abuse Hotline: 855-MI-FRAUD (643-7283)
All reports will be thoroughly investigated and resolved by the Corporate Compliance Officer with appropriate reporting to the Corporate Compliance Committee.
