The Alaska Health Care Fraud Task Force (AHCFTF) is a partnership of local, state, federal, and private agencies focused on the investigation of health care fraud, waste, and abuse in Alaska or affecting Alaskan interests.
The AHCFTF seeks to identify health care fraud offenders and pursue investigations against them through partnerships with local, state, and federal agencies.
The private sector is also an important partner in the fight against health care fraud. The AHCFTF is actively involved in the Healthcare Fraud Prevention Partnership, an information-sharing effort between the government and private sector that works to stop this type of crime. The AHCFTF also works closely with insurance groups such as the National Health Care Anti-Fraud Association, the National Insurance Crime Bureau, and private insurance investigative units to help combat health care fraud.
Complaints, tips, and information related to health care fraud may be reported online at tips.fbi.gov or by calling the FBI Anchorage Field Office at (907) 276-4441.
The FBI is the primary agency for exposing and investigating health care fraud, with jurisdiction over both federal and private insurance programs. Health care fraud investigations are considered a high priority within the FBI’s complex financial crime program, and the Anchorage Field Office coordinates initiatives, task forces, and undercover operations to specifically and proactively investigate health care fraud. FBI Anchorage’s key partners in health care fraud investigations include:
- Alaska Medicaid Fraud Control Unit (MFCU)
The MFCU investigates and prosecutes Medicaid fraud and the abuse, neglect, or financial exploitation of patients in any facility that accepts Medicaid funds.
- Department of Health and Human Services - Office of Inspector General (HHS-OIG)
The HHS-OIG conducts criminal, civil, and administrative investigations of fraud and misconduct related to HHS programs, operations, and beneficiaries.
- Drug Enforcement Administration (DEA), Diversion Control Division
The DEA’s Diversion Control Division prevents, detects, and investigates the transfer of controlled pharmaceuticals and listed chemicals from legitimate sources while ensuring an adequate and uninterrupted supply for legitimate medical, commercial, and scientific needs.
- Defense Criminal Investigative Service (DCIS)
DCIS conducts criminal investigations of matters related to Department of Defense programs and operations; one of its top investigative priorities is health care fraud.
- Alaska Department of Commerce, Community, and Economic Development (DCCED)
- The DCCED’s Division of Insurance investigates consumer inquiries and complaints against insurance companies and agents to help ensure fair treatment.
- The DCCED’s Division of Corporations, Business, and Professional Licensing ensures that competent, professional, and regulated commercial services are available to all Alaskans, and investigates fraud, malpractice, negligence, misconduct, ethics, and noncompliance of various licensing provisions.
- U.S. Attorney’s Office (USAO), District of Alaska
USAO personnel includes prosecutors who specialize in combating white-collar crime, including health care fraud.
- Alaska Department of Health and Social Services (DHSS), Medicaid Program Integrity Office
The Medicaid Program Integrity Office of DHSS works to eliminate fraud, waste, and abuse in the Medicaid program through audits and compliance checks.