The Division of Audits and Investigations is responsible for investigating and auditing for possible fraud, waste or abuse of the programs administered by the Cabinet as mandated by KRS 194A.030. The division is responsible for enforcing the Kentucky Controlled Substances Act as outlined in KRS 218A.
Division staff conducts the following types of investigations:
Fraud, waste, and abuse of providers and recipients of Medicaid and other Cabinet programs
Enforcement of KRS 218A the Controlled Substance Act
Enforcement of KRS 217 the Food, Drug & Cosmetic Act
Other investigations per KRS 194A.030
The division has three branches:
Audits Branch
Drug Enforcement and Professional Practices Branch
Medicaid Preliminary Investigations Branch
Public Assistance Fraud is a Crime
Because public assistance fraud is a crime, substantiated investigations are referred for criminal prosecution or administrative sanctions.
You Can Help: If you know or suspect that someone is defrauding or abusing one or more of the programs that we investigate, please tell us. While many cases are the result of routine computer matches, many others could not have been detected without the help of conscientious and concerned citizens and taxpayers.
To report Medicaid and welfare fraud, please call: (800) 372-2970.The call is free and you may call anytime. If you want to talk to a staff member, please call Monday - Friday, 8 a.m. - 4:30 p.m. Eastern time. At other times you may leave a message.
When you call, please provide as much information as possible, including:
Name(s), address(es) and any alias(es) of the person(s) you are reporting;
The name(s) and address(es) of any other person(s) who are pertinent to the allegation, including those spouses and children;
Social Security number(s) and birth date(s) for such person(s);
A factual statement of the allegation; and
The name(s), address(es) and telephone number(s) of anyone who can provide information to us.
You do not have to give your name when you call. However, providing your name and a daytime telephone number will help us if we need clarification or additional information about your complaint. If you give us your name, we will still respect your anonymity.
You may also report suspected public assistance fraud by email or by sending your complaint to us by mail at the following address:
Office of Inspector General
Division of Audits and Investigations
275 E. Main St., 5E-D
Frankfort, KY 40621
Please Note: Our investigative authority is limited to the areas discussed above. We do not investigate matters involving child or adult abuse (except those involving residents of some state facilities); Social Security, SSI or Section VIII fraud; or welfare programs administered by other states. Please report abuse and fraud complaints of this type to:
Abuse or neglect of a Kentucky resident –
(800) 752-6200
Food Stamps trafficking in Kentucky –
(800) 372-2970
Food Stamps trafficking in other states –
(800) 424-9121
Social Security and SSI fraud –
(800) 269-0271
Section VIII (subsidized housing) fraud –
(800) 347-3735
To report child or adult abuse of a resident of another state, contact the social service agency for the state or county where the person resides.
To report Medicaid or welfare fraud in another state, contact the state or welfare agency for the state or county where the person resides. The United Council on Welfare Fraud maintains links to numerous sites for reporting welfare fraud.