Where To Report Waste

Fraud, Abuse, Or Retaliation

District of Columbia Medicaid Fraud Control Unit: 2022 Review

Submitting OIG:

Department of Health & Human Services OIG

Date Issued:

Tuesday, September 26, 2023

Agency Reviewed / Investigated:

Department of Health & Human Services

Submitting OIG-Specific Report Number:

OEI-06-22-00420

Component, if applicable:

Centers for Medicare & Medicaid Services

Centers for Medicare and Medicaid Services

External entity, if applicable:

District of Columbia MFCU

Location(s):

DC,

United States

Type of Report:

Inspection / Evaluation

Questioned Costs:

$0

Funds for Better Use:

$0

Number of Recommendations:

4

Report updated under NDAA 5274:

No

View Document:

Attachment	Size
OEI-06-22-00420.pdf	4.24 MB

Related Open Recommendations

Recommendation Number	Recommendation Status	Significant Recommendation	Additional Details
22-E-06-041.01	Open	No
Develop policies and procedures to implement the District of Columbia OIG's expanded law enforcement authority and ensure that Unit investigators receive training on the new authorities.
22-E-06-041.02	Open	No
Build upon its efforts with the District's Medicaid agency to increase fraud referrals from the MCOs.
22-E-06-041.03	Open	No
Ensure that supervisory reviews of case files are conducted and documented in accordance with Unit policy.
22-E-06-041.04	Open	No
Ensure that all convictions and adverse actions are reported to Federal partners within the appropriate timeframes.