Medicaid Fraud Control Units Annual Report: Fiscal Year 2025
(OEI- 09-26-00140)
Medicaid Fraud Control Units (MFCUs) investigate and prosecute Medicaid provider fraud and patient abuse or neglect. OIG — which oversees and annually approves federal funding for MFCUs through a recertification process — released a new report analyzing case outcomes submitted by 53 MFCUs for Fiscal Year (FY) 2025. In FY 2025, MFCUs operating across all 50 States, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands reported 1,185 convictions, 900 exclusions from federally funded health care programs, and 674 civil settlements and judgments — totaling $2 billion in recoveries. Overall, MFCUs recovered $4.64 for every $1 spent in FY 2025. Read the Full Report. |
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