California State Medicaid Fraud Control Unit: 2015 Onsite Review (OEI-09-15-00070)
Why We Did This Study

OIG oversees all State Medicaid Fraud Control Units (MFCUs or Units). As part of this oversight, OIG conducts periodic reviews of all Units and prepares public reports based on these reviews. The reviews assess Unit performance in accordance with the 12 MFCU performance standards and monitor Unit compliance with Federal grant requirements.

How We Did This Study

We conducted an onsite review of the California Unit in February 2015.

What We Found

During FYs 2012-2014, the Unit expended $83 million and generated 337 convictions, 67 civil judgments and settlements, and total recoveries of $795 million, $531 million of which was attributed to cases investigated directly by the Unit.