The Attorney General’s Medicaid Fraud Control Unit (MFCU) investigates and prosecutes criminal and civil fraud involving providers who improperly bill the state's Medicaid program, essentially stealing from West Virginia's taxpayers.
The division investigates criminal abuse or neglect of residents in health care facilities, and misappropriation of patients' private funds in Medicaid facilities. The MFCU also examines potential fraud in the administration of the Medicaid program itself.
The unit is certified annually by the Secretary of the U.S. Department of Health and Human Services to conduct these statewide investigations.
The West Virginia MFCU is funded through a federal grant from the U.S. Department of Health and Human Services-Office of Inspector General, providing 75% of the funds, with the state providing 25%.
The MFCU is authorized by Section 1, Article 7, Chapter 9 of the West Virginia State Code and §1007 of the Title 42 of the Code of Federal Regulations.
Additional Resources:
Bureau for social services (BSS)
Office of Health Facility Licensure and Certification (OHFLAC)
Health and Human Services Office of the Inspector General (HHS-OIG)
Office of the Inspector General Investigations and Fraud Management (OIG-IFM)
Bureau for Medical Services Office of Program Integrity (OPI)
Contact Us:
West Virginia Attorney General's Office
Medicaid Fraud Control Unit
100 Dee Drive, Suite 101
Charleston, WV 25311
MFCU Hotline: 1-888-372-8398
Phone: 304-558-1858
Fax: 304-558-3498