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graduated rule
  The mission of the New Jersey Medicaid Fraud Control Unit (MFCU) is to protect Medicaid beneficiaries and the medicaid program from fraud, waste and abuse.  

The Medicaid Fraud Control Unit is within the Office of the Attorney General's Division of Criminal Justice.

The MFCU investigates and prosecutes

  • Fraudulent activities by providers against the Medicaid program.
  • Fraud in the administration of the program.
  • Investigate and prosecute fraud against other federally funded health care programs where there is a Medicaid nexus.
  • Complaints of patient or resident abuse or neglect in health care facilities receiving Medicaid funding such as nursing homes. Also those Medicaid beneficiaries who reside in any other setting outside their home where care is provided to them. Abuse and/or neglect means both physical abuse or neglect and fiscal pertaining to money or property abuse or neglect.
  • Violations of the Civil False Claims Act, where the alleged fraud impacts Medicaid.

To report Medicaid Fraud or Patient Abuse & Neglect, please complete the Medicaid Fraud & Patient Abuse & Neglect Reporting Form or contact us.

MFCU News I More About the MFCU >

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