What is the Medicaid Fraud Control Units jurisdiction?
The NYS MFCU’s mission is to conduct a statewide program for the investigation and prosecution of healthcare providers and Medicaid administrators who defraud the Medicaid program. The MFCU also has jurisdiction to investigate and prosecute those who abuse, neglect or mistreat residents in facilities paid to provide nursing and/or personal care services to one or more unrelated adults. In fact, the MFCU’s jurisdiction extends to all such facilities — regardless of whether the patient is a Medicaid recipient or the facility receives Medicaid money. When Congress created the MFCUs in 1977, it did so not only because of the evidence of massive fraud in the Medicaid program, but also because the horrendous tales of nursing home abuse and victimization. The MFCU has authority to hold accountable individuals or corporations who defraud the Medicaid program or abuse residents of healthcare facilities through both criminal prosecution and/or civil litigation. To prevent fraud, the MFCU makes r
