OIG Tallies Medicaid Fraud Control Unit Achievements in FY 2016

The OIG has released national and state-by-state data quantifying State Medicaid Fraud Control Unit (MFCUs) accomplishments in fiscal year 2016. During this period MFCUs were credited with a total of:

• 1,721 indictments (1,249 involving fraud and 472 involving abuse or neglect);
• 1,564 convictions (1,160 involving fraud and 404 involving abuse or neglect);
• 998 civil settlements and judgments; and
• $1.88 billion in recoveries ($368 million of which were criminal recoveries).

MFCU expenditures totaled almost $259 million during this period, and Medicaid expenditures exceeded $571 million (state and federal expenditures).

This article is presented for informational purposes only and is not intended to constitute legal advice.