State Medicaid Fraud Control Units Recovered $4.64 For Every $1 Spent In Fiscal Year 2025

State Medicaid Fraud Control Units (MFCUs) recovered $4.64 for every $1 spent on investigations in fiscal year 2025, generating nearly $2 billion in total recoveries, according to the U.S. Department of Health and Human Services Office of Inspector General (OIG).

Total recoveries reached nearly $2 billion, including $1.3 billion from criminal cases and $706 million from civil settlements and judgments. Criminal enforcement resulted in 1,185 convictions, including 856 fraud convictions accounting for $1.2 billion and 329 abuse or neglect convictions totaling $17 million. These cases led to the exclusion of 900 individuals and entities from . . .