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 Executive Office of Virginia $38.304980 million on October 1, 2025, under the State Medicaid Fraud Control Units program (CFDA 93.775) to investigate and prosecute Medicaid provider fraud as well as patient abuse or neglect in health facilities, board and care facilities, and non-institutional settings serving Medicaid beneficiaries throughout Virginia.

The award covers the period from October 1, 2025, through September 30, 2026. Funds are distributed quarterly on October 1, January 1, April 1, and July 1. The Executive Office of Virginia's Executive and Administration Division serves as the recipient and operates the state's Medicaid Fraud Control Unit as a single identifiable entity certified by CMS and annually re-certified by the Office of Inspector General. The unit investigates and prosecutes provider fraud cases and abuse or neglect complaints across institutional and non-institutional care settings, protecting vulnerable Medicaid beneficiaries across the commonwealth.

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.