Federal Government

Medicaid service providers are also investigated on federal level. In most cases this means that the investigation is criminal and you need to be extra careful about speaking with the agents.

Most federal Medicaid fraud investigations are handled by the Office of Inspector General of the US Department of Health, but other agencies such as the FBI could also participate.

Medicaid fraud cases handled on the federal level is different from state cases because they almost always result in criminal prosecutions, civil enforcement actions, and Medicaid exclusions.

Medicaid fraud prosecuted in federal courts is very different from state cases. The federal criminal process is pretty mechanical and sentencing will largely be influence by the sentencing guidelines calculations (although it’s not the only criteria considered by federal courts).  Each fraud offense is given an offense level depending on the amount of fraud, and each level corresponds with the guidelines  sentence in the minimum and maximum range. The guidelines will be considered by the judge who may or may not follow them.

Medicaid fraud is a very serious matter and once it ends up in federal court, it becomes even more serious, so give us a call if you have a Medicaid fraud issue.

I’ve seen many clients who’d made their problem harder to resolve because they didn’t know how to act when federal agents approached them with questions or when they receive a federal subpoena.

Anything you tell the agents will be used as evidence against you as will be anything you give them.  Before you speak with federal agents, give us a call. I also invite you to browse this site for videos on what to do when you are under investigation.