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 West Virginia Attorney General $7.737 million under the State Medicaid Fraud Control Units program (CFDA 93.775) on October 1, 2025.

The recipient operates West Virginia's Medicaid Fraud Control Unit to investigate and prosecute Medicaid provider fraud and to investigate and prosecute patient abuse or neglect in health facilities, board and care facilities, and non-institutional settings involving Medicaid beneficiaries. The award covers the period from October 1, 2025 through September 30, 2026 and is distributed quarterly. All performance and administrative work occurs in West Virginia.

The State Medicaid Fraud Control Units program supports state investigation and prosecution of fraud against Medicaid and abuse or neglect of vulnerable populations. Award funds are distributed on a fiscal year basis in quarterly installments: October 1, January 1, April 1, and July 1. States must submit annual re-certification applications 60 days prior to the end of each certification period. The Office of Inspector General performs periodic onsite reviews and annual re-certification reviews of each state unit. Grant 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.