Report Suspected Fraud to the SMP
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.
Name
*
First Name
Last Name
County and State
*
Zip Code
*
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Please describe details of issue.
NOTE: Please do not include any personally identifiable information above.
Submit
Should be Empty: