SMP Fraud Reporting

If you believe you have experienced Medicare fraud, errors, or abuse, please use this form to report it to the AR SMP. When making your report, please include how you would like someone to contact you. Please DO NOT put your Medicare number, Social Security number, or any confidential information in this form.

First Name(Required)

Last Name

County and State(Required)

Zip Code(Required)

Your Email Address(Required)

Email Address Confirm Email Address

Your Phone(Required)

Please describe details of the issue.(Required)

NOTE: Please do not include any personally identifiable information above.

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