Medicaid Fraud Schemes

Perpetrators of Medicaid fraud run the gamut from the solo practitioner who submits claims for services never rendered to large institutions that exaggerate the level of care provided to their patients and then alter patient records to conceal the resulting lack of care. Although recipients also commit Medicaid fraud, the jurisdiction of the Medicaid Fraud…

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Global Case Press Releases

For more than two decades, NAMFCU has participated in many effective cooperative efforts with federal authorities to protect federally-funded healthcare programs from health care providers or vendors whose fraudulent activities cause harm to these programs across state lines. These multistate cases (commonly referred to as “global cases”) are generally limited to Medicaid, Medicare and other…

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NAMFCU Publications

Press Releases Discover press releases from global cases in recent years. Annual Report 2019 Annual Report 2017 Annual Report Statistical Survey 2022 Statistical Survey 2021 Statistical Survey 2020 Statistical Survey 2019 Statistical Survey 2018 Statistical Survey State Budget Comparisons State Budget Comparisons – 2015-2021

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History of NAMFCU

One year after the signing of P.L. 95-142, the Medicare-Medicaid Anti-Fraud and Abuse Amendments, by President Jimmy Carter on October 25, 1977, 19 MFCU Directors met formally for the first time in Mt. Laurel, New Jersey at the inaugural National Training Conference for Medicaid Fraud Control. Directors met with key staff of the then-U.S. Department of…

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NAMFCU Trainings

One of NAMFCU’s main goals is to improve the quality of Medicaid provider fraud investigations and prosecutions by offering employees specialized training. NAMFCU training programs provide MFCU staff with both the tools needed to build successful cases and a forum for sharing investigative strategies and prosecution theories with colleagues from around the country. NAMFCU’s programs…

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State Medicaid Fraud Control Units

About Medicaid Fraud Control Units Medicaid Fraud Control Units (MFCUs) conduct a statewide program for the investigation and prosecution of health care providers who defraud the Medicaid program. Other duties of a MFCU include: Reviewing complaints of abuse or neglect in nursing home and board and care facilities. Reviewing complaints of the misappropriation of patients’…

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NAMFCU Event

This training is a closed session for NAMFCU members.
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Linda Vang

Linda joined the National Association of Medicaid Fraud Control Units (NAMFCU) in May 2014. She became the meetings manager in July 2018. In this role, she manages logistics for NAMFCU’s numerous meetings and training programs. Prior to joining NAMFCU, she has over 6 years of experience in event services, working as an operations assistant/curriculum specialist…

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Ashley Swift

Ashley Swift joined the National Association of Medicaid Fraud Control Units (NAMFCU) in 2016 and currently works as the projects manager. While working for NAMFCU, she is responsible for coordinating and supporting the Global Case Committee, other Association committees and working groups. Ashley has two Bachelor’s of Arts degrees in Political Science and History from Millersville University of Pennsylvania…

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NAMFCU

About the National Association of Medicaid Fraud Control Units Founded in 1978, the National Association of Medicaid Fraud Control Units (NAMFCU) represents Medicaid Fraud Control Units (MFCUs) across the country. All 50 states, the District of Columbia, Puerto Rico, and the Virgin Islands have Medicaid Fraud Control Units. All but five are located in the…

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