Honor. Performance. Integrity. The Office of Inspector General (OIG) safeguards the integrity of the Georgia Department of Community Health (DCH) from risk internally and externally. Detecting fraud, waste and abuse is the office’s clear charge.
The OIG rigorously reviews, investigates and audits Medicaid providers and recipients to uncover criminal conduct, administrative wrongdoing, poor management practices, and other waste, fraud and abuse. OIG also reviews the State Health Benefit Plan (SHBP), Healthcare Facility Regulation and other offices at DCH.
Additionally, the office provides department oversight, audit and provider enrollment certification services. The office has four units:
- Program Integrity - Monitors Medicaid providers and members
- Internal Investigations - Examines allegations of fraud, waste and abuse by DCH employees, contractors, sub-contractors and vendors
- Provider Enrollment - Reviews, evaluates and processes all applications for individual practitioners and facility enrollment in Georgia Medicaid and PeachCare for Kids®
- Office of Audits - Conducts internal and external audits and reviews
Robert M. Finlayson III, Inspector General
Any DCH employee or private citizen may report fraud, waste and abuse.
Office of Inspector General
ATTN: Special Investigations Unit
2 Peachtree Street, NW 5th Floor
Atlanta, GA 30303
404-463-7590 • 800-533-0686
E-mail: firstname.lastname@example.org or ReportMedicaidFraud@dch.ga.gov.
Submit online form.