Federal Grant Award Summary

The West Virginia Attorney General received a Formula Grant award of $2,321,205.00 from the Centers for Medicare and Medicaid Services (CMS), Office of Financial Management, effective October 1, 2025, through September 30, 2026, under the State Medicaid Fraud Control Units program (CFDA 93.775). This award funds the West Virginia Medicaid Fraud Control Unit to investigate and prosecute Medicaid provider fraud while simultaneously identifying and prosecuting cases of patient abuse and neglect occurring in health facilities, board and care facilities, and non-institutional settings involving Medicaid beneficiaries. The unit conducts criminal investigations, executes prosecutions, and performs oversight activities essential to protecting vulnerable populations and maintaining the integrity of the Medicaid program throughout the state.

As a direct prime awardee, the West Virginia Attorney General operates as a single identifiable state government entity certified and annually re-certified by CMS and the Office of Inspector General to comply with federal requirements under 42 CFR 1007. Funds are distributed quarterly throughout the fiscal year and must be expended in accordance with an approved annual budget. The organization maintains all grant-related records for three years as required by federal regulation, and is subject to periodic onsite reviews and annual re-certification reviews conducted by the Office of Inspector General to ensure continued compliance with program standards.