Medicaid Fraud Control Unit | Medicaid Fraud Control Unit

The Medicaid Fraud Control Unit (MFCU) investigates and prosecutes provider fraud involving medical assistance programs, as well as patient abuse and neglect statewide. MFCU's jurisdiction over Medicaid Fraud consists largely of provider theft of Medicaid funds through deceptive claims made with the state Medicaid program. Some types of deceptive claims are: -claims for services not rendered -multiple claims for a single service or supply -billing at a higher rate than permitted for the service or supply provided MFCU's jurisdiction over abuse consists largely or pysical violence, neglect, and financial exploitation of dependent adults committed by Medicaid providers, care facilities, and paid caregivers. MFCU is authorized to proceed criminally and/or civilly. MFCU's jurisdiction over civil false Medicaid claims consists largely of unlawful provider activity that results in inappropriate claims from the Medicaid program.