Medicaid fraud control unit - to investigate and prosecute medicaid provider fraud as well as patient abuse or neglect in health facilities and board and care facilities and of medicaid…

The Department of Health and Human Services Centers for Medicare and Medicaid Services awarded the State of Iowa Department of Inspections, Appeals, and Licensing $2,959,740 under the State Medicaid Fraud Control Units program (CFDA 93.775) on October 1, 2025.

The award funds investigation and prosecution of Medicaid provider fraud and patient abuse or neglect in health facilities, board and care facilities, and non-institutional settings serving Medicaid beneficiaries. The State of Iowa Department of Inspections, Appeals, and Licensing operates this fraud control unit as a single identifiable state entity. Performance extends through September 30, 2026, with place of performance in Iowa.

The program distributes funds quarterly on a fiscal year basis (October 1, January 1, April 1, and July 1). Grant awards are determined based on detailed descriptions of estimated expenditures required to support the program. The Office of Inspector General conducts periodic onsite reviews and annual re-certification reviews of the state unit. All records must be retained for three years in accordance with 2 CFR 200.334.

Medicaid fraud control unit - to investigate and prosecute medicaid provider fraud as well as patient abuse or neglect in health facilities and board and care facilities and of medicaid beneficiaries in non-institutional or other settings.