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Attorney General Ford Announces Medicaid Fraud Control Unit Recertification, Federal Government Recognizes Nevada's Success in Combatting Fraud

Carson City, NV – Today, Nevada Attorney General Aaron D. Ford announced the federal Office of the Inspector General (OIG) has recertified the Office of the Attorney General’s Medicaid Fraud Control Unit (MFCU) after finding that “the Unit continues to demonstrate a strong commitment to its mission and a solid record of effectiveness across key functional areas.”

“I am proud to see the dedicated public servants in my office’s MFCU get the recognition they deserve,” said Attorney General Ford. “Our MFCU repeatedly punches above its weight class to ensure Nevadans remain protected from fraudsters and scammers who would seek to defraud Nevada Medicaid. I am proud to work alongside them every day, and pleased that the Office of the Inspector General recognizes the tremendous work they are doing.”

In the letter, the OIG writes that the Nevada MFCU has “continued to deliver meaningful results for individuals enrolled in Medicaid and taxpayers, demonstrating both strong investigative capacity and a consistent record of impactful enforcement outcomes.”

The OIG points out that the Nevada MFCU reported 75 fraud convictions over the past three fiscal years, which ranks the Silver State first out of 11 similarly sized units around the country. In Fiscal Year 2025, the Nevada MFCU reported to the OIG 314 fraud investigations, 35 fraud convictions, 25 fraud indictments, 13 civil settlements and judgments and total monetary recoveries of $18.5 million.

The Nevada MFCU works diligently to ensure bad actors do not defraud Nevada Medicaid and to ensure that Nevadans are not the victims of fraudsters and scammers. To that end, the Office of the Attorney General has brought forward two bill draft requests for the 2027 Legislative Session that would strengthen and expand the MFCU.

In the letter, the OIG also states that the Nevada MFCU has “achieved significant success and demonstrates the beneficial impact a high-performing MFCU can have for taxpayers and for those served by the Nevada Medicaid program.” In addition, the OIG states that "Nevada's accomplishments — including high case outcomes, effective use of data analytics, successful prosecutions across a wide range of provider types, and sustained collaboration with Federal and State partners — underscore the Unit's continued commitment to safeguarding the Nevada Medicaid program and the people it serves."

The MFCU investigates and prosecutes financial fraud by those providing healthcare services or goods to Medicaid patients. The MFCU also investigates and prosecutes instances of elder abuse or neglect. The Nevada MFCU receives 75% of its funding from the U.S. Department of Health and Human Services under a grant award. The remaining 25% is funded by the State of Nevada, MFCU. Persons convicted of Medicaid fraud may also be administratively excluded from future Medicaid and Medicare participation. Anyone wishing to report suspicions regarding any of these concerns may contact the MFCU at 702-486-3420 or 775-684-1100.

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