Medicaid Fraud Control Units (MFCU)

Annual Reports

MFCU Contact Directory MFCU Contact Directory (PDF) Updated: 10-23-2008

The enactment of the Medicare and Medicaid Anti-Fraud and Abuse Amendments of 1977 authorized the establishment of, and Federal funding for, the State Medicaid Fraud Control Units (SMFCUs). Currently, 47 States and the District of Columbia participate in the Medicaid fraud control grant program through their established SMFCU. The majority of the Units are located within the Office of State Attorneys General. A small number of the Units are located in various other State Agencies. The mission of the Medicaid fraud units is to investigate and prosecute Medicaid provider fraud and incidences of patient abuse and neglect.

The Inspector General is delegated the authority to annually certify each SMFCU as eligible to receive Federal grant funds under the Medicaid fraud control program. The Medicaid fraud units receive 90 percent Federal funding for the first 3 years of operation and 75 percent thereafter. A primary goal of the OIG is to ensure that each unit fully complies with all Federal regulations governing the functions and operations of a Medicaid fraud unit.

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