The Medicaid Fraud Division conducts a statewide program for the investigation and prosecution of health care providers who defraud the Massachusetts Medicaid program, known as MassHealth. In addition, the Medicaid Fraud Division is responsible for reviewing complaints of abuse, neglect, mistreatment and financial exploitation of patients in long-term care facilities.
Through criminal and civil enforcement actions, the division seeks to have a significant deterrent impact on fraudulent activities within every area of the Commonwealth's healthcare provider community. The Division serves as the Medicaid Fraud Control Unit for the Commonwealth of Massachusetts and is annually certified by the Secretary of the U.S. Department of Health and Human Services. The Medicaid Fraud Division employs investigators, auditors, data analysts and attorneys who work together to develop investigations and execute prosecutions.
The Medicaid Fraud Division partners with other local, state and federal law enforcement agencies in its efforts to combat fraud, save taxpayer dollars, and protect the most vulnerable in our society from exploitation and abuse by their caregivers.
Since Attorney General Coakley took office in 2007, the Medicaid Fraud Division has recovered over $385 million for the Massachusetts Medicaid program. This represents a ratio of $18 returned to taxpayers for every dollar in the division’s budget.
Learn More About Medicaid Fraud:
Report Other Types of Health Care Fraud:
Long Term Care Facilities and Nursing Homes: