Medicaid Fraud Control Units - Office of Inspector General
Medicaid Fraud Control Units (MFCUs) investigate and prosecute Medicaid provider fraud as well as abuse or neglect of residents in health care facilities and board and care facilities and of …
What Is Medicaid Fraud and What Are Common Examples?
Aug 24, 2025 · What Is Medicaid Fraud and What Are Common Examples? Understand Medicaid fraud, its serious impact on healthcare integrity, and how it's identified and reported to protect …
At least $9B billed across 14 Medicaid services in Minnesota may …
Dec 18, 2025 · A top prosecutor suggested on Thursday that the total amount of fraud in Minnesota could be $9 billion or more. According to First Assistant U.S. Attorney Joe …
Minnesota fraud charges unveiled by Feds in 'staggering' Medicaid …
Dec 18, 2025 · Federal prosecutors on Thursday unveiled more charges in a widespread, ongoing investigation of “industrial-scale” Medicaid fraud in Minnesota that’s likely to reach into the …
National Health Care Fraud Takedown Results in 324 Defendants …
Jun 30, 2025 · “Today's unprecedented enforcement action demonstrates that CMS and our federal partners are united in our mission to protect the integrity of Medicare and Medicaid by …
Medicaid Fraud and Its Systemic Impact on U.S. Healthcare …
Jul 31, 2025 · Medicaid fraud is defined as knowingly submitting false information to the Medicaid program for the purpose of receiving unauthorized payments or benefits. There are several …
Medicaid Integrity Program | CMS
Nov 14, 2024 · CMS provides a variety of educational resources to help states, health plans, providers, and others combat Medicaid fraud, waste, and abuse. These resources cover …
Program Integrity | Medicaid
The Centers for Medicare and Medicaid Services (CMS) is committed to combating Medicaid provider fraud, waste, and abuse which diverts dollars that could otherwise be spent to …
MFCUs Recover $1.4B in Medicaid Fraud in 2024 - National Law …
Jul 1, 2025 · Fraud—such as billing a state Medicaid program for services, drugs, or supplies that are intentionally or knowingly unnecessary, not performed, overbilled, or not actually …
How Medicare and Medicaid fraud became a $100B problem for …
Mar 9, 2023 · Medicare and Medicaid programs are being brazenly targeted by sophisticated criminals. Estimated annual fraud tops $100 billion, but investigators say it's likely much higher.