The OIG has posted an interactive map and a data chart about Medicaid Fraud Control Units (MFCU) and enforcement actions for FY 2014.

New York, Louisiana, and Texas appeared to have the highest recoveries and significant returns on MFCU investments, including a staggering return in Louisiana of over $47.7 for every $1 invested in MFCU grant expenditures.

Texas had 1,303 open investigations at the end of the fiscal year, 122 individuals indicted or charged, 90 convictions, and 17 civil settlements or judgments.  Recoveries in Texas – that is, the amount of money that defendants were required to pay as a result of a settlement, judgment, or prefiling settlement in criminal and civil cases – totaled $106,075,376.19.  Compared to MFCU grant expenditures of $16,502,689.27, the government recovered over $6.4 for every $1 invested in pursuing Medicaid fraud.

In New York and Louisiana, the two states with the highest recoveries:

  • New York yielded $378,434,543 in total recoveries, compared to $45,814,464.43 in MFCU grant expenditures: a return of over $8.2 for every $1 invested.
  • Louisiana yielded $245,305,060 in total recoveries, compared to $5,134,743.68 in MFCU grant expenditures: a return of over $47.7 for every $1 invested.

Nationwide, the grand total of MFCU recoveries in FY 2014 – including participation by other federal and state agencies – was $2,004,245,629.17.

Compared to $235,051,298.51 in nationwide MFCU grant expenditures, the government recovered over $8.5 for every $1 invested in pursuing Medicaid fraud.

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