MFCUs
E722075
MFCUs are specialized state-level law enforcement units that investigate and prosecute Medicaid provider fraud and patient abuse in healthcare facilities.
All labels observed (1)
| Label | Occurrences |
|---|---|
| MFCUs canonical | 1 |
Statements (45)
| Predicate | Object |
|---|---|
| instanceOf |
Medicaid Fraud Control Unit
ⓘ
state-level law enforcement unit ⓘ |
| collaboratesWith |
Medicaid agencies
NERFINISHED
ⓘ
federal law enforcement agencies ⓘ state Attorneys General ⓘ |
| establishedPurpose |
address abuse and neglect of patients in healthcare facilities
ⓘ
combat Medicaid provider fraud ⓘ |
| existsIn |
District of Columbia
NERFINISHED
ⓘ
U.S. territories that operate Medicaid Fraud Control Units ⓘ most U.S. states ⓘ |
| focusesOn |
Medicaid program integrity
ⓘ
Medicaid providers ⓘ healthcare facilities ⓘ patient abuse and neglect ⓘ |
| fullName | Medicaid Fraud Control Units NERFINISHED ⓘ |
| fundedBy |
federal government
ⓘ
state governments ⓘ |
| goal |
protect Medicaid funds
ⓘ
protect health and safety of Medicaid beneficiaries ⓘ |
| jurisdiction | state level ⓘ |
| legalAuthorityFrom |
federal law
ⓘ
state law ⓘ |
| mayInclude |
auditors
ⓘ
investigators ⓘ nurse investigators ⓘ prosecutors ⓘ |
| operatesIn |
United States of America
ⓘ
surface form:
United States
|
| overseenBy | U.S. Department of Health and Human Services Office of Inspector General NERFINISHED ⓘ |
| primaryMandate |
investigate Medicaid provider fraud
ⓘ
investigate patient abuse in healthcare facilities ⓘ prosecute Medicaid provider fraud ⓘ prosecute patient abuse in healthcare facilities ⓘ |
| programArea | Medicaid NERFINISHED ⓘ |
| reportsTo | HHS-OIG for federal oversight and funding ⓘ |
| scopeIncludes |
board and care homes
ⓘ
intermediate care facilities ⓘ nursing facilities ⓘ other residential healthcare facilities ⓘ |
| sector | healthcare law enforcement ⓘ |
| targets |
fraudulent billing schemes
ⓘ
kickback arrangements involving Medicaid providers ⓘ substandard care amounting to abuse or neglect ⓘ |
| uses |
administrative remedies
ⓘ
civil enforcement ⓘ criminal enforcement ⓘ |
Referenced by (1)
Full triples — surface form annotated when it differs from this entity's canonical label.
subject surface form:
State Medicaid Fraud Control Units