Utah Medicaid Fraud Control Unit: 2018 Onsite Review

OIG administers Medicaid Fraud Control Unit (MFCU) grant awards, annually recertifies each MFCU, and oversees MFCU performance in accordance with the requirements of the grant. As part of this oversight, OIG conducts periodic reviews of MFCUs and prepares public reports. These onsite reviews supplement OIG's annual recertifications of the MFCUs. The primary purpose of this onsite review was to identify and address factors that contributed to the Utah MFCU's low number of fraud convictions during fiscal years (FYs) 2015-2017 and declining amounts of nonglobal* civil settlements, judgments, and recoveries in FY 2017.