National Association of Medicaid Fraud Control Units

National Association of Medicaid Fraud Control Units

About NAMFCU

Founded in 1978, the National Association of Medicaid Fraud Control Units (NAMFCU) has played a pivotal role in providing the Medicaid Fraud Control Units (MFCUs) with a national presence.

NAMFCU is a professional association created to provide training, promote communication and interstate cooperation, provide for the exchange of information, and educate the public about the work of the Medicaid Fraud Control Units.

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What is Medicaid Fraud

Perpetrators of Medicaid fraud run the gamut from the solo practitioner who submits claims for services never rendered to large institutions that exaggerate the level of care provided to their patients and then alter patient records to conceal the resulting lack of care. Although recipients also commit Medicaid fraud, the jurisdiction of the Medicaid Fraud Control Units (MFCUs) is limited to investigating and prosecuting Medicaid provider fraud.

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