Medicaid Fraud and Abuse
What is Medicaid Fraud?
Medicaid is a state-managed healthcare benefit for qualifying low-income, disabled individuals and children and families. Fraud can be committed by providers or Medicaid members. Medicaid fraud is an intentional deception or misrepresentation made by an individual with the knowledge that the deception or misrepresentation may result unauthorized benefit to an individual or some other person. Medicaid fraud includes any actions or inactions that constitute fraud under federal or state law.