The Attorney General’s Medicaid Fraud Control Unit (MFCU) investigates and prosecutes fraud involving providers that intentionally defraud the state's Medicaid program through fraudulent billing practices. Medicaid fraud essentially steals from Florida's taxpayers. The MFCU investigates allegations of patient abuse, neglect, and exploitation in facilities receiving payments under the Medicaid program, such as nursing homes, facilities for the mentally and physically disabled, and assisted living facilities. In 2017, the MFCU was awarded the Inspector General's Award for Excellence in Fighting Fraud, Waste and Abuse. This award is presented annually to the nation’s top MFCU by the U.S. Department of Health and Human Services Office of Inspector General.
The MFCU investigates a wide range of misconduct originating primarily from fraudulent billing schemes. The most common schemes involve doctors, dentists, clinics and other health care providers billing for services never performed, over billing for services provided, or billing for tests, services and products that are medically unnecessary.
The Attorney General’s Office welcomes the assistance of citizens in fighting health care fraud. Under Florida’s False Claims Act, people who blow the whistle on Medicaid Fraud are entitled to share in any funds recovered by the state. To report fraud or abuse, individuals may use the statewide hotline number at 866-966-7226.
Sworn members of the Office of the Attorney General, Medicaid Fraud Control Unit, will not engage in the practice of bias-based profiling. Citizens are guaranteed equal protection under the law and the right to be free from unreasonable searches and seizures. Sworn members of the Agency will carry out their enforcement responsibilities in a manner that respects these rights and upholds the dignity of all persons. Any citizen that believes he or she is a victim of bias-based profiling may file a complaint with the Department of Legal Affairs Office of Inspector General.