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At A Glance: Medicaid Fraud Control Units Fiscal Year 2022 Annual Report

Issued on  | Posted on  | Report number: OEI-09-23-00190

Medicaid Fraud Control Units (MFCUs) investigate and prosecute Medicaid provider fraud and patient abuse or neglect. The Office of Inspector General (OIG) is the designated Federal agency that oversees and annually approves Federal funding for MFCUs through a recertification process. For this report, we analyzed the annual statistical data on case outcomes—such as convictions, civil settlements and judgments, and recoveries—that the 53 MFCUs submitted for fiscal year 2022. Those MFCUs operated in all 50 States, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands.

Key statistics from the report include:

  • 1,327 Convictions
    • 946 Fraud
    • 381 Patient Abuse or Neglect
  • 553 Civil Settlements and Judgments
  • 1,018 Individuals or Entities Excluded from federally funded health programs
  • Civil Recoveries
    • 62% Nonglobal Cases
    • 38% Global Cases
  • $416 Million Criminal Recoveries
  • $641 Million Civil Recoveries
  • $1.1 Billion Recovered
    • MFCUs recovered $3.08 for every $1 spent