Federal Formula Grant Award Summary

The New York State Attorney General's Medicaid Fraud Control Unit (MFCU) received a formula grant award of $79.6 million from the Department of Health and Human Services Centers for Medicare and Medicaid Services under the State Medicaid Fraud Control Units program (CFDA 93.775) for the period of October 1, 2025, through September 30, 2026. The MFCU investigates and prosecutes Medicaid provider fraud and conducts criminal investigations into patient abuse and neglect occurring in health facilities, board and care facilities, and non-institutional settings serving Medicaid beneficiaries. The funding supports law enforcement and prosecutorial functions designed to protect the integrity of New York's Medicaid program and safeguard vulnerable populations.

The award operates under a formula-based allocation mechanism with quarterly fund distributions aligned to the state's approved annual budget. As a certified state government entity, the MFCU performs all work directly without involvement of subcontractors or sub-awardees. The unit remains subject to annual recertification by the Office of Inspector General, mandatory three-year record retention requirements, and periodic onsite federal compliance reviews to ensure adherence to federal requirements under 42 CFR 1007 and the Social Security Act.