OIG presents State Medicaid Fraud Control Units’ Annual Statistics
June 1st, 2011
The OIG has collected the reports of each state’s Medicaid Fraud Control Unit (MFCU) for Fiscal Year 2010 and compiled the data into one Excel chart, available here.
On a national level, 13, 210 investigations were conducted, stemming from both fraud and abuse/neglect, which led to 1,603 indictments and 1,329 convictions. The states reported a total of $1.8 billion in civil and criminal recoveries, which OIG calculates as a return on investment (ROI) of $8.98 per every dollar of MFCU funding by the federal and state government .
Based on the spreadsheet, North Carolina’s MFCU conducted 230 investigations (208 for fraud, 22 for abuse and neglect), leading to 20 indictments for fraud and 8 for abuse and neglect. 19 cases led to fraud convictions and 6 led to convictions based on abuse and neglect. North Carolina’s MFCU recovered $53.5 million in civil and criminal settlements, with just over $3 million in grant expenditures.
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