Who sets the priorities of a MFCU?
Each Attorney General is free to set priorities in his or her state. Given the wide programmatic differences among the states’ Medicaid programs, what is a problem in one state may not be a problem in another. Because criminal prosecution is inherently reactive, established priorities may be modified when a new scheme to defraud is discovered, although priorities must take into account the federal performance standards which require a mix of cases covering all significant provider types. The National Association of Medicaid Fraud Control Units does not set enforcement priorities, refer cases to, or otherwise suggest specific assignments for the individual units.
