Skip to main navigationSkip to News Headlines
Global Navigation
Office of The Attorney General
The State of New Jersey Office of The Attorney General (Dept. of Law & Public Safety) The State of New Jersey NJ Home Services A to Z Departments/Agencies OAG Frequently Asked Questions
OAG Home
OAG Contact
Division of Alcoholic Beverage Control
Division of Consumer Affairs
Division of Criminal Justice
Division on Civil Rights
Division of Gaming Enforcement
Division of Highway Traffic Safety
Report Fraud
What is Insurance Fraud?
Medicaid Fraud Control Unit
Fraud Laws
Annual Reports
Division of Law
Juvenile Justice Commission
NJ Racing Commission
Public Integrity and Accountablity
State Athletic Control Board
Division of NJ State Police
Victims of Crime Compensation Office
OPRA - Open Public Records Act
Non Profit Information
 
spacer
spacer
View Biography & Photo of the NJ Insurance Fraud Prosecutor
Medicaid Fraud Control Unit Medicaid Fraud Control Unit Medicaid Fraud Control Unit
View Biography & Photo of the NJ Insurance Fraud Prosecutor
Medicaid Fraud Control Unit Home Page Medicaid Fraud News Medicaid Fraud Library Contact the Medicaid Fraud Control Unit About the Medicaid Fraud Control Unit
Medicaid Fraud Control Unit What is Medicaid Fraud? Frequently Asked Questions Resources medicaid Fraud Reporting Form
Medicaid Fraud Tip Hotline...
Toll Free
1-609-292-1272

   

In 1977 Congress enacted legislation, the Medicare-Medicaid Anti-Fraud and Abuse Amendments, P.L. 95-142, which established the state Medicaid Fraud Control Unit (MFCU) program and provided the states with incentive funding to investigate and prosecute Medicaid provider fraud. Federal regulations require the MFCU's to be certified annually by the Secretary of the Department of Health and human Services (DHHS), Office of Inspector General (OIG). The enabling federal legislation emphasizes the necessity of having an integrated multi-disciplinary team of attorneys, investigators and auditors in one office in order to successfully prosecute these complex financial crimes.

The MFCUs are required to be separate and distinct from the state Medicaid programs to avoid institutional conflicts of interest. The units are generally located in the state Attorney General's Office, although some MFCUs are located in other state agencies with law enforcement responsibilities. In our state our MFCU is in the Office of the Attorney General in the Division of Criminal Justice.

The mission of law enforcement is to protect life and property. The Medicaid Fraud Section is unique in the Division of Criminal Justice in that our mission, which is "to protect the Medicaid program and its beneficiaries from fraud, waste and abuse," addresses both of these mandates. Fifty percent of Medicaid program expenditures are directly funded by state taxpayer dollars, making the Medicaid program one of the largest expenditures in the state budget.

 
     
 
OAG Home Attorney General's Biography
Attorney General's Biography
Executive Assistant Attorney General
Attorney General's Message Ask the Attorney General
Contact OAG About OAG
OAG News OAG Frequently Asked Questions
OAG Library Employment
OAG Grants Proposed Rules
OAG History OAG Services A-Z
Statutes
OAG Agencies / Programs / Units
Highlights
View the 2012 OAG Annual Report
Report Medicaid Fraud Here or Call 609-896-8772
Report Fraud!
Know When Your Civil Rights Have Been Violated
Report Crime Online or Call 866-TIPS-4CJ
NJ Amber Alert Plan
   
Contact Us | Privacy Notice | Legal Statement | Accessibility Statement spacer
NJ Home Logo
spacer
Departmental: OAG Home | Contact OAG | About OAG | OAG News | OAG FAQs
Statewide: NJ Home | Services A to Z | Departments/Agencies | FAQs
Copyright © State of New Jersey
This page is maintained by OAG Communications. Comments/Questions: email or call 609-292-4925
OAG Home OAG Home