Report Materials
OIG administers the Medicaid Fraud Control Unit (MFCU or Unit) grant awards, annually recertifies each Unit, and oversees the Units’ compliance with the requirements of the grant and adherence to 12 established performance standards reflecting practices identified by OIG and MFCUs that will improve Unit effectiveness. As part of this oversight, OIG conducts periodic onsite inspections of Units and issues public reports of its findings and observations.
26-E-04-034.01 to MFCU - Open Unimplemented
Update expected on
02/27/2027
Ensure that the Unit Director oversees all aspects of the Unit's investigative work
26-E-04-034.02 to MFCU - Open Unimplemented
Update expected on
02/27/2027
Build upon its efforts to increase the volume and quality of fraud referrals from the PIU and MCO
26-E-04-034.03 to MFCU - Open Unimplemented
Update expected on
02/27/2027
Implement a case management system that allows efficient access to case information
26-E-04-034.04 to MFCU - Open Unimplemented
Update expected on
02/27/2027
Ensure that case files document all relevant facts, information, and supervisory reviews
26-E-04-034.05 to MFCU - Open Unimplemented
Update expected on
02/27/2027
Revise the Unit's MOU with the PIU to include reference to the CMS Performance Standard for Referrals
26-E-04-034.06 to MFCU - Open Unimplemented
Update expected on
02/27/2027
Ensure that the Unit's inventory list is accurate
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Notice
This report may be subject to section 5274 of the National Defense Authorization Act Fiscal Year 2023, 117 Pub. L. 263.