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 Wisconsin Department of Justice $4.922 million on October 1, 2025, under the State Medicaid Fraud Control Units program (CFDA 93.775) to investigate and prosecute Medicaid provider fraud and patient abuse or neglect in health facilities, board and care facilities, and non-institutional settings.

The award funds the Wisconsin Medicaid Fraud Control Unit's operations through September 30, 2026, with place of performance in Wisconsin. The State Medicaid Fraud Control Units program distributes funds to states on a formula basis as quarterly installments (October 1, January 1, April 1, and July 1) tied to each state's approved annual budget and entitlement limits. Awards are conditioned on the state unit's compliance with Social Security Act Section 1903(q) and related regulatory requirements, including single identifiable entity status within state government, annual recertification by the Office of Inspector General, and three-year record retention. Grant periods are one year in length.

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.