Connecticut Medicaid Fraud Control Unit (MFCU) exists as a single identifiable entity of the state government within the Division of Criminal Justice, Office of the Chief State’s Attorney. Pursuant to 42 United States Code §1007.11(a), the MFCU is charged with conducting a Statewide program for investigating and prosecuting (or referring for prosecution) violations of all applicable state laws pertaining to fraud in the administration of the Medicaid program, the provision of medical assistance, or the activities of providers of medical assistance under the state Medicaid plan. Pursuant to 42 United States Code §1007.11(b), the MFCU will also review complaints alleging abuse or neglect of patients or residents in health care facilities receiving payments under Medicaid and may review complaints of the misappropriation of funds or property of patients or residents. The Unit may, at its option, also investigate and prosecute abuse or neglect and misappropriation of funds or property of residents in board and care facilities and Medicaid recipients in a non-institutional or other settings.
The MFCU’s mission is both combatting health care fraud and protecting the Medicaid population from abuse, neglect, and misappropriation of funds.
The Medicaid plan is intended to impart health care to those in need by using tax dollars to pay the medical bills. Receiving these funds is life or death for many, the hope is that the money is managed wisely so that the most good reaches the most people.
Medicaid Fraud has far-reaching effects that touch almost everyone whether it’s the people in need of health care, honest providers of health care and the taxpayer. Each time a provider commits fraud they are taking away money from those who need it.
The MFCU receives 75 percent of its funding from the U.S. Department of Health and Human Services under a grant award, the remaining 25 percent, is funded by the State of Connecticut.
For more information or to report fraud, waste or abuse please contact:
Medicaid Fraud Control Unit
Office of the Chief State's Attorney
300 Corporate Place
Rocky Hill, CT 06067
Telephone: 860-258-5986
Fax: 860-258-5838