The SMP programs, also known as Senior Medicare Patrol programs, help Medicare and Medicaid beneficiaries avoid, detect, and prevent health care fraud. In doing so, they not only protect older persons, they also help preserve the integrity of the Medicare and Medicaid programs.
Their primary goal is to teach Medicare beneficiaries how to protect their personal identity, identify and report errors on their health care bills and identify deceptive health care practices, such as illegal marketing, providing unnecessary or inappropriate services that were never provided. In some cases, SMPs do more than educate: When Medicare and Medicaid beneficiaries are unable to act on their own behalf to address these problems, the SMPs work with family caregivers and others to address the problems, and if necessary, make referrals to outside organizations who are able to intervene.
Who is Eligible
Anyone who suspects fraud or abuse can report their concerns/issues to our office or the SMP hotline.
Is There a Cost
There is no cost to participate in SMP.
How do I Get Help/Apply
To report suspected Medicare or Medicaid fraud or abuse call our office and someone can help you or you can call on your own at:
NYS Medicare Fraud Hotline Number 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.
If you are in a Medicare Advantage Plan, call the Medicare Drug Integrity Contractor (MEDIC) at 1-877-7SAFERX (1-877-772-3379).
You can help stop Medicaid fraud by calling OMIG's Fraud Hotline at 1-877-87FRAUD (1-877-873-7283).
Visit Senior Medicare Patrol (SMP) website to get tips on how to prevent fraud, understanding your Medicare documents, and many more topics about Medicare. SMP Website