They say you shouldn’t mess with Texas. Those submitting fraudulent claims to the state’s Medicaid program should heed that advice.
According to new Medicaid Fraud Control Unit (MFCU) statistics and an interactive map released by the Office of Inspector General, the Texas MFCU netted more than $210 million in fraud recoveries in 2015, almost all of which came from criminal investigations. Texas had fewer convictions than states such as California, Ohio and New York, but brought in significantly more money. New York, which had the second-highest recovery amount, brought in a little more than $63 million.
Texas’ recovery rate is particularly impressive given the state’s tumultuous history with Medicaid fraud control. In 2013, Texas officials set out to collect $1 billion in Medicaid fraud recoveries, but fell woefully short.
Source: Texas leads the way in Medicaid fraud recoveries in 2015 FIERCE HEALTH PLAYER