Medicaid Fraud Control Units were responsible for 1,564 convictions and had $1.8 billion in criminal and civil recoveries in FY 2016. That's compared to 1,553 convictions and $744 million in total recoveries in FY 2015, according to a report from HHS' Office of Inspector General.
Medicaid Fraud Control Units operate in 49 states and the District of Columbia, and are typically part of the state attorney general's office. North Dakota is the only state that doesn't have an MFCU. In exercising oversight for the MFCUs, the OIG assesses each unit's performance and compliance with federal requirements.
Here are the top 10 states for Medicaid fraud recoveries, based on the OIG's report.
1. New York — $228.9 million
2. Florida — $165.5 million
3. California — $136.2 million
4. Texas — $128.3 million
5. Tennessee — $105.8 million
6. District of Columbia — $91.2 million
7. Massachusetts — $82.8
8. Wisconsin — $81 million
9. North Carolina — $80.4 million
10. Ohio — $64 million
More articles on legal and regulatory issues:
10 latest lawsuits involving hospitals
Owners, operators of Texas home health company charged in $60M fraud scheme
Lawsuit alleges NYC hospital charges double legal amount for medical records