Puerto Rico Medicaid Fraud Control Unit
Complaint Form

The Puerto Rico Medicaid Fraud Control Unit receives complaints about fraud allegations to the Medicaid Program, also known as the Government of Puerto Rico Healthcare Plan, Vital and abuse and neglect in institutionalized patients such as extended living care and home health care centers.

Do not use this site to report events presenting an immediate threat to life or property. Reports submitted through this service may not receive an immediate response. If you require emergency assistance, please contact your local authorities.

Explain where did the incident took place: Please provide the physical address as complete as possible.

Do you wish to remain ANONYMOUS for this report?

 Yes No

If you want the Medical Fraud Control Unit (MFCU) to know your identity, please complete the following:

Name Last Name
Telephone Number Email
Best time for communication with you:


Identify the people engaged in this behavior
First name Surnames Relationship with the complainant


What is the general nature of this matter? Please check with an x:

 Alleged Fraud to Medicaid Program Abuse and/or Neglect to an institutionalized patient in a long term facility. Other


Describe the event briefly. This should be a general description only; you will be asked for specifics later.

How long do you think this problem has been going on?


Please provide the specific or approximate time this incident occurred




If it was otherwise, explain how it happened


Please identify any persons who have attempted to conceal this problem and the steps they took to conceal it: (Please identify by name and title. )

Please provide all details regarding the alleged violation, including the locations of witnesses and any other information that could be valuable in the evaluation and ultimate resolution of this situation. Please take your time and provide as much detail as possible, but exercise care to not provide details that may reveal your identity unless you wish to do so. It may be important to know if you are the only person aware of this situation.

The Puerto Rico Medicaid Fraud Control Unit (PRMFCU) will  investigate this matter. If you are interested in sharing additional information, you can contact us at 787-721-2900 ext. 1560/1561  or by email at PRMFCU@justicia.pr.gov.