This bill aims to strengthen efforts against Medicaid fraud by expanding the responsibilities of State Medicaid fraud control units. Currently, these units primarily focus on fraud committed by healthcare providers. The legislation seeks to broaden their mandate to include investigating and prosecuting instances of fraud perpetrated by individuals who apply for or receive Medicaid services. Specifically, the bill amends Section 1903(q)(3) and Section 1902(a)(61) of the Social Security Act. These amendments clarify that fraud control units must address fraud related to the application for , or receipt of , Medicaid services, ensuring beneficiary fraud falls within their investigative and prosecutorial scope, with the changes becoming effective 180 days post-enactment.
This bill aims to strengthen efforts against Medicaid fraud by expanding the responsibilities of State Medicaid fraud control units. Currently, these units primarily focus on fraud committed by healthcare providers. The legislation seeks to broaden their mandate to include investigating and prosecuting instances of fraud perpetrated by individuals who apply for or receive Medicaid services. Specifically, the bill amends Section 1903(q)(3) and Section 1902(a)(61) of the Social Security Act. These amendments clarify that fraud control units must address fraud related to the application for , or receipt of , Medicaid services, ensuring beneficiary fraud falls within their investigative and prosecutorial scope, with the changes becoming effective 180 days post-enactment.