Welcome to the Illinois Senior Medicare Patrol (SMP) Program page. Please explore our different sections:
What is health care fraud?
Have you ever gotten a phone call from someone who said they were "from Medicare," but to send you a new Medicare card, they needed your Medicare number?
Have you ever seen something listed on your Medicare Summary Notice that you didn't receive?
Have you had an insurance agent sign you up for an insurance plan without your permission?
If any of these situations have happened to you, you have experienced health care fraud. If you suspect fraud, please remember:
1) Healthcare fraud is not your fault. Fraud occurs in every city, in every state, every day. Scam artists will do anything to gain our trust, and even the most sensible consumers can get 'scammed.'
2) You CAN do something about it – you can report it to the Illinois SMP (Senior Medicare Patrol) Program!
What is the SMP Program?
The SMP (Senior Medicare Patrol) Program empowers consumers to prevent healthcare fraud. Program staff and volunteers help people with Medicare and Medicaid to:
1) PROTECT themselves from Medicare & Medicaid fraud, waste, and abuse.
2) DETECT Medicare & Medicaid fraud, waste, and abuse.
3) REPORT Medicare & Medicaid fraud, waste, and abuse.
The Administration for Community Living (ACL) provides funding to SMP programs in all 50 states, Washington, D.C., Puerto Rico, Guam, and the Virgin Islands.To find an SMP program in your state, visit the National SMP Resource Center website at www.smpresource.org and use the SMP Locator tool.
ACL and the SMP Program are working in partnership with the U.S. Department of Health and Human Services and the U.S. Department of Justice to fight Medicare fraud. Visit the national Stop Medicare Fraud website to learn more about our national campaign:
The Illinois SMP Program is located at AgeOptions, the Area Agency on Aging for Suburban Cook County. AgeOptions works with several other agencies to provide information about healthcare fraud in Illinois. These agencies are: Illinois Area Agencies on Aging, Catholic Charities, White Crane Wellness Center and the Coalition of Limited English Speaking Elderly.
What are the types of fraud that happen in Illinois?
Home health fraud is our most reported area of Medicare fraud. The Illinois SMP released two new materials: one is an explanation of how Medicare covers home health and how
fraud occurs and the other is a visual summary. Click the links below to see these new materials:
Home Health and Medicare: An Explanation (4-page PDF)
Home Health and Medicare: A Visual Summary (1-page PDF)
All areas of Medicare are subject to fraud. Please visit our SMP Materials page to find out more.
You can also learn more about fraud in Illinois by signing up for our SMP Fraud Alert emails.
What if I do not live in Illinois?
For help finding your state’s SMP program, visit the National SMP Resource Center website at www.smpresource.org and use the SMP Locator tool.
This project was supported, in part by grant number 90MP0216, from the U.S. Administration for Community Living, Department of Health and Human Services, Washington, D.C. 20201. Grantees undertaking projects under government sponsorship are encouraged to express freely their findings and conclusions. Points of view or opinions do not, therefore, necessarily represent official Administration for Community Living policy.