Tuesday, March 10, 2015

Medicaid Fraud Control Units Statistical Data for FY 2014

Dianne De La Mare

The US Department of Health and Human Services, Office of Inspector General (OIG) has released statistical information relating to each state Medicaid Fraud Control Unit (MFCU), as self-reported to the agency. The information includes the number of investigations, indictments and convictions, as well as recoveries and expenditures.

State MFCUs investigate and prosecute alleged instances of Medicaid fraud as well as patient abuse and neglect in health care facilities. Currently, MFCUs operate in 49 States and in the District of Columbia. Forty-four of the MFCUs are located as part of Offices of State Attorneys General. The remaining 6 are in other State agencies. OIG certifies, and annually recertifies, each MFCU. OIG collects information about MFCU operations and assesses whether they comply with statutes, regulations, and OIG policy. OIG also analyzes MFCU performance based on performance standards and recommends program improvements where appropriate.

To obtain MFCU data current through January 2015, go to OIG’s website at http://go.usa.gov/3cHe9 and http://go.usa.gov/3cHeT.

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