From the Office of Inspector General (OIG), U.S. Department of
Health & Human Services
Behavioral Health (Community Mental Health Centers)
Community mental health centers (CMHCs) treat mentally ill Medicare
beneficiaries in outpatient centers. This type of treatment keeps
beneficiaries out of the hospital and allows them to go home at night.
CMHCs are mandated to provide intensive psychotherapy to their
How the Scam Works
Instead of providing professional mental health services, fraudulent
CMHCs provide nothing more than adult day care, where patients merely
watch television all day and Medicare is billed for expensive mental
Fraudulent CMHCs will also proactively recruit beneficiaries and
offer spa treatments and vacations for the use of their Medicare card to
bill Medicare for mental health care that was never rendered.
Another scheme includes billing for group therapy as individual
therapy or van shopping trips to the mall that are billed as mental
How to Fight Back
Reject offers of money or gifts in exchange for your Medicare
number, Medicare card or statements containing your medical
information and identity.
Don’t give out any of your personal information to these
unscrupulous persons. The next victim of medical identity theft could be