Summary

The Department of Legal Affairs, Medicaid Fraud Control Unit (MFCU), is responsible for investigating and prosecuting corruption in the administration of the Medicaid Program and fraud perpetrated by medical service providers.  In audit report Nos. 2004-033 and 2006-028, we disclosed significant findings related to the MFCU’s operations.  The scope of the current audit focused on the status of those findings during the period July 2005 through February 2007.  Our audit indicated that Department management implemented sufficient corrective action to resolve the prior audit findings, except as noted below.

Finding No. 1:     MFCU case files did not always include documentation of the calculation of Medicaid overpayments.

Finding No. 2:     Amounts due to the Medicaid Program were not always timely remitted.

The Inspector General's response is included at the end of this report as Appendix A.