state Medicaid Fraud Control Units

E193259

Medicaid program integrity entity state-level law enforcement agency

State Medicaid Fraud Control Units are specialized state-level agencies that investigate and prosecute Medicaid provider fraud and patient abuse or neglect in healthcare facilities.

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All labels observed (2)

Label	Occurrences
Medicaid Fraud Control Units	1
state Medicaid Fraud Control Units canonical	1

Statements (45)

Predicate	Object
instanceOf	Medicaid program integrity entity ⓘ state-level law enforcement agency ⓘ
authorizedBy	federal law ⓘ state law ⓘ
canProsecute	criminal Medicaid provider fraud ⓘ
canRefer	civil Medicaid fraud cases to other authorities ⓘ
collaboratesWith	Centers for Medicare & Medicaid Services ⓘ United States Department of Justice ⓘ surface form: U.S. Department of Justice state Attorneys General ⓘ
employs	auditors ⓘ investigators ⓘ nurse investigators ⓘ prosecutors ⓘ
focusesOn	Medicaid providers ⓘ patient abuse in healthcare facilities ⓘ patient neglect in healthcare facilities ⓘ
fundedBy	federal government ⓘ state governments ⓘ
goal	protect Medicaid beneficiaries from abuse or neglect ⓘ protect the integrity of the Medicaid program ⓘ
hasAbbreviation	MFCUs ⓘ
hasFullName	state Medicaid Fraud Control Units self-linksurface differs ⓘ surface form: Medicaid Fraud Control Units
investigates	fraudulent billing to Medicaid ⓘ kickback schemes involving Medicaid providers ⓘ misappropriation of patient funds in healthcare facilities ⓘ overutilization of services for financial gain ⓘ substandard care in Medicaid-funded facilities ⓘ
locatedIn	United States of America ⓘ surface form: United States
operatesAtLevel	state ⓘ
overseenBy	Office of the Inspector General ⓘ surface form: U.S. Department of Health and Human Services Office of Inspector General
primaryFunction	investigation of Medicaid provider fraud ⓘ investigation of patient abuse or neglect in healthcare facilities ⓘ prosecution of Medicaid provider fraud ⓘ prosecution of patient abuse or neglect in healthcare facilities ⓘ
primaryJurisdiction	Medicaid program ⓘ
regulates	compliance of Medicaid providers with program rules ⓘ
subjectArea	Medicaid program compliance ⓘ healthcare fraud enforcement ⓘ patient protection in long-term care facilities ⓘ
typeOfCasesHandled	civil or administrative referrals ⓘ criminal cases ⓘ
usesTool	data analysis to detect fraud patterns ⓘ on-site inspections of healthcare facilities ⓘ
worksOnBehalfOf	Medicaid beneficiaries ⓘ state Medicaid programs ⓘ

Referenced by (2)

Full triples — surface form annotated when it differs from this entity's canonical label.

Office of the Inspector General → collaboratesWith → state Medicaid Fraud Control Units ⓘ

subject surface form: Office of Inspector General, U.S. Department of Health and Human Services

state Medicaid Fraud Control Units → hasFullName → state Medicaid Fraud Control Units self-linksurface differs ⓘ

subject surface form: State Medicaid Fraud Control Units

this entity surface form: Medicaid Fraud Control Units