CBH FRAUD, WASTE, AND ABUSE COMPLIANCE HOTLINE

CBH has a fraud, waste, and/or abuse compliance hotline that you may call for behavioral health concerns. The CBH Compliance Hotline number is 1-800-229-3050. The Compliance Hotline is staffed Monday through Friday from 9:00 a.m.-11:00 a.m. and 2:00 p.m. - 4:00 p.m. If you call during these hours, you will be given the option to speak to someone or to leave a message. You can leave a message if you call at any other time. You do not have to give your name.

Some common examples of fraud and abuse are:

  • Billing or charging you for services that your health plan covers
  • Offering you gifts or money to receive treatment or services
  • Offering you free services, equipment, or supplies in exchange for your ACCESS number
  • Giving you treatment or services that you do not need
  • Physical, mental, or sexual abuse by medical staff

You can also contact the CBH Compliance Hotline by sending an email to cbh.compliancehotline@phila.gov.

CBH Compliance Hotline:
1-800-229-3050 or cbh.compliancehotline@phila.gov

PA DEPARTMENT OF HUMAN SERVICES FRAUD AND ABUSE HOTLINE

The Pennsylvania Department of Human Services (PA DHS) has a hotline if you want to report a medical provider (for example a doctor, dentist, therapist, or hospital) or business (medical supplier) for suspected fraud or abuse for services provided to anyone with an ACCESS card. The hotline number is
1-866-379-8477.

You can call the hotline and speak to someone Monday through Friday 8:30 a.m.-3:30 p.m. You may leave a message at other times. If you do not speak English, an interpreter will be made available. If you have a hearing impairment, you can call using your TTY device. You do not have to give your name. If you do give your name, the provider will not be told that you called.

You can also report suspected fraud and abuse on the PA DHS website at http://www.dhs.pa.gov/learnabout-dhs/fraudandabuse/index.htm. This is set up so you do not have to give your name.

You can call either of these hotlines to report any suspected fraud, waste, and abuse issues.

Language assistance is available for members who speak a language other than English.
En español: 1-866-229-3187
For assistance with other languages, call customer services:
1-800-553-7499