Members need to use behavioral health services properly. It is considered fraud if a member or provider is dishonest in order to:
- Get a service not approved for the member.
- Get AHCCCS benefits that a person is not eligible for.
Abuse happens if a member causes unnecessary costs to the system on purpose, for example:
- Loaning an AHCCCS card or the information on it to someone else.
- Selling an AHCCCS card or the information on it to someone else.
Misuse of your AHCCCS identification card, including loaning, selling or giving it to others, could result in your loss of AHCCCS eligibility. Fraud and abuse are felony crimes and are punishable by legal action against the member or provider.
Solari has a zero tolerance policy against fraud, waste and program abuse.