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Louisiana Joins 37 States in Effort to Broaden Fight Against Medicaid Fraud

BATON ROUGE, LA – Attorney General Jeff Landry has joined 37 other states in an effort to expand the authority given to Medicaid Fraud Control Units (MFCU) around the country.  

Attorneys General from around the country sent a letter to U.S. Health and Human Services Secretary Tom Price requesting that certain federal regulations that limit states’ ability to detect, investigate, and prosecute the abuse and neglect of Medicaid beneficiaries be lifted. 

As the current regulations stand, MFCU’s are restricted in their ability to protect Medicaid beneficiaries from abuse and neglect. Louisiana and the other states are requesting authority to use federally-funded MFCU assets to the full extent the federal statute allows by replacing or eliminating current, outdated regulations.

“In an effort to keep fighting fraud and abuse, I joined with my fellow attorneys general in requesting this expansion of our authority,” said Attorney General Landry. “I will continue doing all I legally can to combat Medicaid fraud in Louisiana and make our State an even better place to live, work, and raise our families.”

The Social Security Act currently allows the use of MFCU's to investigate and prosecute patient abuse/neglect in “health care facilities” or “board and care facilities.” However, the statute does not prohibit the use of federal MFCU funds to investigate abuse/neglect in non-institutional settings, such as abuse or neglect of a beneficiary alleged to have occurred in a home health care or other non-institutional setting – only the regulations impose that prohibition.

In the letter, General Landry and the other attorneys general requested federal regulations be broadened to allow the use of federal MFCU funds to investigate and prosecute suspected abuse in whatever setting necessary, including non-institutional settings. They also asked the regulations be broadened to allow the use of federal MFCU funds to freely screen or review any and all complaints, which may help identify cases of abuse or neglect of any Medicaid beneficiary.

“My office remains steadfast in our commitment to end Medicaid fraud in our State, and we will use every resource and authority we have to do so,” said Attorney General Landry. “I hope Secretary Price will broaden our authority and add these new tools in our arsenal against fraud, waste, and abuse in Louisiana.”


A copy of the letter is available in the More Resources Box to the right side of this page.