Medicaid fraud unit obtains millions in recoveries

Thursday, March 28, 2019

WASHINGTON – Medicaid Fraud Control Units obtained 1,503 convictions in fiscal year 2018, including 1,109 convictions for fraud and 394 convictions for patient abuse or neglect, according to a new report from the Office of Inspector General. Fraud conviction accounted for about 73% of all convictions for the last five years. Criminal recoveries in fiscal year 2018 were $314 million—less than half of the amount recovered in 2017, but on par with fiscal years 2014-2016, according to the report. Civil recoveries were $545 million. Recoveries against DMEPOS suppliers were nearly $14.9 million. MFCUs obtained 810 civil settlements and judgments, with the largest number (217) against pharmaceutical manufacturers. DMEPOS represented 57 settlements.