{"id":26,"date":"2007-02-02T05:10:32","date_gmt":"2007-02-02T05:10:32","guid":{"rendered":"http:\/\/www.whistleblowerlawyerblog.com\/2007\/02\/state_enforcement_efforts_disa.html"},"modified":"2021-06-11T17:56:58","modified_gmt":"2021-06-11T21:56:58","slug":"state_enforcement_efforts_disa","status":"publish","type":"post","link":"https:\/\/www.finchmccranie.com\/whistleblower-blog\/state_enforcement_efforts_disa\/","title":{"rendered":"State Enforcement Efforts Disappointing In Combatting Medicaid Fraud"},"content":{"rendered":"<p>According to a recent report issued by the Inspector General of the Department of Health and Human Services, State enforcement results regarding Medicaid fraud cases have been disappointing.  Virtually every state in the country has a State Medicaid Fraud Control Unit whose principle job is to uncover and detect fraud and to prosecute the offenders.  Such units are also tasked with the responsibility of attempting to recover monies fraudulently obtained from the Medicaid program.  Because Medicaid is approximately twenty (20%) percent of the total federal budget and involves staggering amounts of money, one would hope that State Medicaid Fraud Control Units (MFCUS) were aggressive in their efforts at addressing this problem.  Unfortunately, the HHS Inspector General, Daniel Levenson, studied the efficacy of state enforcement efforts through state MFCUs and found that on average, only twelve (12) cases per year were even referred to the State Medicaid Fraud Control Units by their State Medicaid Agencies.<\/p>\n<p>\tAccording to the Inspector General&#8217;s report, twenty-six (26) Fraud Control Units said that in the last year of the study (which was conducted from July, 2002 through June, 2005) they received less than twelve (12) referrals each year from State Medicaid Agencies averaging therefore less than one referral per month.  Thus, over half (\u00bd) of the states in this country report less than one case per month being referred to the State Medicaid Fraud Control Unit for investigation concerning fraud.<\/p>\n<p>\tThe report of the Inspector General clearly establishes the need for the passage of State False Claims Acts.  Like the Department of Justice, the government itself is poorly equipped to deal with undetected fraud when it comes to Medicare and Medicaid in general.  The Department of Justice has recognized that the most important enforcement tool it has to root out fraud is the Federal False Claims Act which encourages whistleblowers \/informants to come forward.  Because the states themselves have such a poor track record in uncovering fraud and referring cases for investigation, it is clear that each state in this country needs its own State False Claims Act to encourage the reporting of fraudulent claims submitted to Medicaid by whistleblowers.  The more encouragement for such reports by whistleblowers the more likely it is that fraud will be detected and addressed.<\/p>\n<div class=\"read_more_link\"><a href=\"https:\/\/www.finchmccranie.com\/whistleblower-blog\/state_enforcement_efforts_disa\/\"  title=\"Continue Reading State Enforcement Efforts Disappointing In Combatting Medicaid Fraud\" class=\"more-link\">Continue reading \u2192<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>According to a recent report issued by the Inspector General of the Department of Health and Human Services, State enforcement results regarding Medicaid fraud cases have been disappointing. Virtually every state in the country has a State Medicaid Fraud Control Unit whose principle job is to uncover and detect fraud and to prosecute the offenders. [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8],"tags":[],"class_list":["post-26","post","type-post","status-publish","format-standard","hentry","category-medicare-and-medicaid-fraud"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>State Enforcement Efforts Disappointing In Combatting Medicaid Fraud &#8212; Whistleblower Lawyer Blog &#8212; February 2, 2007<\/title>\n<meta name=\"description\" content=\"According to a recent report issued by the Inspector General of the Department of Health and Human Services, State enforcement results regarding Medicaid &#8212; February 2, 2007\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.finchmccranie.com\/whistleblower-blog\/state_enforcement_efforts_disa\/\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:title\" content=\"State Enforcement Efforts Disappointing In Combatting Medicaid Fraud &#8212; Whistleblower Lawyer Blog &#8212; February 2, 2007\" \/>\n<meta name=\"twitter:description\" content=\"According to a recent report issued by the Inspector General of the Department of Health and Human Services, State enforcement results regarding Medicaid &#8212; February 2, 2007\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Michael Sullivan\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"State Enforcement Efforts Disappointing In Combatting Medicaid Fraud &#8212; Whistleblower Lawyer Blog &#8212; February 2, 2007","description":"According to a recent report issued by the Inspector General of the Department of Health and Human Services, State enforcement results regarding Medicaid &#8212; February 2, 2007","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.finchmccranie.com\/whistleblower-blog\/state_enforcement_efforts_disa\/","twitter_card":"summary_large_image","twitter_title":"State Enforcement Efforts Disappointing In Combatting Medicaid Fraud &#8212; Whistleblower Lawyer Blog &#8212; February 2, 2007","twitter_description":"According to a recent report issued by the Inspector General of the Department of Health and Human Services, State enforcement results regarding Medicaid &#8212; February 2, 2007","twitter_misc":{"Written by":"Michael Sullivan","Est. reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.finchmccranie.com\/whistleblower-blog\/state_enforcement_efforts_disa\/#article","isPartOf":{"@id":"https:\/\/www.finchmccranie.com\/whistleblower-blog\/state_enforcement_efforts_disa\/"},"author":{"name":"Michael Sullivan","@id":"https:\/\/www.finchmccranie.com\/whistleblower-blog\/#\/schema\/person\/06cb979e5d74ec7f83f73b757da4331f"},"headline":"State Enforcement Efforts Disappointing In Combatting Medicaid Fraud","datePublished":"2007-02-02T05:10:32+00:00","dateModified":"2021-06-11T21:56:58+00:00","mainEntityOfPage":{"@id":"https:\/\/www.finchmccranie.com\/whistleblower-blog\/state_enforcement_efforts_disa\/"},"wordCount":623,"articleSection":["Medicare and Medicaid Fraud"],"inLanguage":"en-US"},{"@type":"WebPage","@id":"https:\/\/www.finchmccranie.com\/whistleblower-blog\/state_enforcement_efforts_disa\/","url":"https:\/\/www.finchmccranie.com\/whistleblower-blog\/state_enforcement_efforts_disa\/","name":"State Enforcement Efforts Disappointing In Combatting Medicaid Fraud &#8212; Whistleblower Lawyer Blog &#8212; February 2, 2007","isPartOf":{"@id":"https:\/\/www.finchmccranie.com\/whistleblower-blog\/#website"},"datePublished":"2007-02-02T05:10:32+00:00","dateModified":"2021-06-11T21:56:58+00:00","author":{"@id":"https:\/\/www.finchmccranie.com\/whistleblower-blog\/#\/schema\/person\/06cb979e5d74ec7f83f73b757da4331f"},"description":"According to a recent report issued by the Inspector General of the Department of Health and Human Services, State enforcement results regarding Medicaid &#8212; February 2, 2007","breadcrumb":{"@id":"https:\/\/www.finchmccranie.com\/whistleblower-blog\/state_enforcement_efforts_disa\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.finchmccranie.com\/whistleblower-blog\/state_enforcement_efforts_disa\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.finchmccranie.com\/whistleblower-blog\/state_enforcement_efforts_disa\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.finchmccranie.com\/whistleblower-blog\/"},{"@type":"ListItem","position":2,"name":"State Enforcement Efforts Disappointing In Combatting Medicaid Fraud"}]},{"@type":"WebSite","@id":"https:\/\/www.finchmccranie.com\/whistleblower-blog\/#website","url":"https:\/\/www.finchmccranie.com\/whistleblower-blog\/","name":"Whistleblower Lawyer Blog","description":"Published by Whistleblower Attorneys \u2014 Finch McCranie, LLP","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.finchmccranie.com\/whistleblower-blog\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/www.finchmccranie.com\/whistleblower-blog\/#\/schema\/person\/06cb979e5d74ec7f83f73b757da4331f","name":"Michael Sullivan","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/1c20f28ef8779909ce4423e28badc00a489c680349138c20442a37fb45a0e8cf?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/1c20f28ef8779909ce4423e28badc00a489c680349138c20442a37fb45a0e8cf?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/1c20f28ef8779909ce4423e28badc00a489c680349138c20442a37fb45a0e8cf?s=96&d=mm&r=g","caption":"Michael Sullivan"},"sameAs":["https:\/\/www.finchmccranie.com\/michael-a-sullivan.html"]}]}},"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/www.finchmccranie.com\/whistleblower-blog\/wp-json\/wp\/v2\/posts\/26","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.finchmccranie.com\/whistleblower-blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.finchmccranie.com\/whistleblower-blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.finchmccranie.com\/whistleblower-blog\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/www.finchmccranie.com\/whistleblower-blog\/wp-json\/wp\/v2\/comments?post=26"}],"version-history":[{"count":1,"href":"https:\/\/www.finchmccranie.com\/whistleblower-blog\/wp-json\/wp\/v2\/posts\/26\/revisions"}],"predecessor-version":[{"id":2239,"href":"https:\/\/www.finchmccranie.com\/whistleblower-blog\/wp-json\/wp\/v2\/posts\/26\/revisions\/2239"}],"wp:attachment":[{"href":"https:\/\/www.finchmccranie.com\/whistleblower-blog\/wp-json\/wp\/v2\/media?parent=26"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.finchmccranie.com\/whistleblower-blog\/wp-json\/wp\/v2\/categories?post=26"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.finchmccranie.com\/whistleblower-blog\/wp-json\/wp\/v2\/tags?post=26"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}