Fraud & Abuse - January 2005
Back to "Fraud & Abuse" Index | Back to "Update" Index

OIG Issues Report on State Medicaid Fraud Control Units

The Department of Health and Human Services Office of Inspector General (OIG) released its Annual Report on the State Medicaid Fraud Control Units (MFCUs) for fiscal year 2003 (commencing 10/1/02 and ending 09/20/03). MFCUs investigate and prosecute cases involving Medicaid provider fraud and patient abuse and neglect.  Each MFCU operates within the framework of its respective State laws and prosecutorial guidelines.

2003 State Medicaid Fraud Control Unit Facts

	There are 48 MFCUs in 47 states and the District of Columbia
	41 MFCUs are located within Offices of State Attorney General
	MFCUs recovered $268 million in court ordered restitution, fines, civil settlements, and penalties.
	MFCUs were instrumental in obtaining 1,096 convictions for Medicaid fraud
	The OIG excluded 3,275 individuals and entities from participating in Medicare and Medicaid programs - 538 individuals and entities (16% of the total) were excluded based on referrals made to the OIG by the MFCUs
	MFCUs opened 5,570 patient abuse and neglect cases

2003 Ohio Medicaid Fraud Statistics

2003 Medicaid Fraud Kentucky Statistics

2003 Indiana Medicaid Fraud Statistics

Back to Top of Page
Back to "Fraud & Abuse" Index | Back to "Update" Index