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 Commonwealth of Massachusetts Department of the Attorney General $16,145,440 on October 1, 2025, under the State Medicaid Fraud Control Units formula grant program (CFDA 93.775).

The recipient investigates and prosecutes Medicaid provider fraud and patient abuse or neglect in health facilities, board and care facilities, and non-institutional settings serving Medicaid beneficiaries. The award funds the Massachusetts Medicaid Fraud Control Unit through the period of performance ending September 30, 2026, with work performed in Massachusetts. Funds are distributed quarterly on a fiscal year basis (October 1, January 1, April 1, and July 1).

The State Medicaid Fraud Control Units program requires each established unit to operate as a single identifiable state government entity certified by the Secretary and annually re-certified by the Office of Inspector General to comply with Social Security Act requirements. The program distributes award funds based on detailed descriptions of estimated expenditures submitted by states. Grant periods run one year in length. States must submit applications for annual re-certification 60 days prior to the end of each certification period, and application processing may take up to 90 days. 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.