The Colorado Medicaid system pays billions of dollars annually to provide health care to the State’s neediest citizens. Medicaid provider fraud costs taxpayers millions of dollars and takes money away from children and adults who genuinely require it for their health.
The Colorado Attorney General’s Medicaid Fraud Control Unit (MFCU) operates a statewide program designed to detect provider Medicaid fraud. The MFCU prosecutes criminal offenses relating to Medicaid fraud throughout Colorado. The unit also brings civil cases through the Colorado Medicaid False Claims Act, C.R.S. 25.5-4-303.5 et seq., which provides treble (triple) damages and substantial penalties for those who knowingly submit false Medicaid claims to the State of Colorado.
The MFCU investigators are highly trained, sworn peace officers who specialize in this area. The MFCU coordinates with numerous federal, state, and local agencies to review claims data, find facts, and substantiate fraud cases. Since Medicaid is a joint federal/state health program, the MFCU receives funding from the federal government.