Medicaid Fraud Control Unit
The Arkansas Attorney General’s office fights Medicaid fraud by investigating and prosecuting violations of State and federal law involving Medicaid providers and the abuse or neglect of nursing home residents.
Medicaid fraud occurs when providers use the Medicaid program to obtain money in which they are not entitled.
Providers who are convicted of Medicaid fraud may lose their eligibility to be a provider in the Arkansas Medicaid program and may have their professional licenses revoked. Convictions may also carry prison terms and large fines.
The Medicaid Fraud Control Unit accepts complaints regarding Medicaid fraud and abuse and neglect. A report can be filed here. All complaints are confidential.
The Medicaid Fraud Control Unit also monitors and takes action regarding the abuse or neglect that a Medicaid recipient may suffer in long-term health care facilities. There are times that Medicaid residents, especially the elderly, are physically and sexually abused or neglected by health care workers. Physical abuse or neglect includes anything from striking to sexually assaulting a resident, to withholding necessary and adequate food, physical care or medical attention. Financial abuse includes the misuse of a resident’s trust funds to pay for nursing home services already being paid for by the Medicaid program or for uses of a resident’s funds not authorized by the resident or the resident’s guardian, trustee or administrator.
The Attorney General's office provides a checklist of questions families should ask administrators when considering moving a family member into a nursing home facility. Also visit Medicare.gov to find nearby facilities and their federal ratings.
To request copies of the Nursing Home Checklist, complete this short order form.
- Included law enforcement officers for the first time
- 108 new investigations involving Medicaid fraud and abuse or neglect allegations
- Opened 18 and closed 7 drug diversion cases
- 26 Criminal convictions
- 14 Medicaid fraud convictions (an office record)
- 7 Long-term care convictions
- 9 Personal care attendant convictions
The Medicaid Fraud Control Unit obtained more Medicaid fraud convictions with 21 total convictions and opened more criminal investigations in 2016 than ever before.
- 17 Medicaid fraud convictions
- Opened a record 112 criminal investigations
- 3 Long-term care convictions working with prosecutors
- 1 Drug diversion case closed
- Obtained 21 convictions
- Opened 182 criminal cases
- Collected approximately $2 million in settlements/restitution
- 19 Medicaid fraud convictions (highest ever)
- 12 Drug diversion cases closed
- 19 Nursing home settlements totaling $288,500 in civil penalities
- 16 Criminal convictions for adult abuse and drug diversion in long-term care facilities
- 13 Medicaid fraud convictions