North Dakota becoming last state to create unit tackling Medicaid fraud

BISMARCK — North Dakota is poised to become the last state in the country with a team tasked with investigating and prosecuting Medicaid fraud after some prodding by the federal government.

Federal officials in 2017 notified the state that its request for a new waiver allowing it to go without a "Medicaid Fraud Control Unit" would not be considered. North Dakota had a waiver since 1994, according to a letter Gov. Doug Burgum sent to the Centers for Medicare and Medicaid Services.

State lawmakers responded earlier this year by creating a new unit in Attorney General Wayne Stenehjem's office. The state's top law enforcement official said Thursday, June 20, the team will consist of six employees, with one attorney, two investigators, two auditors and an administrative assistant.

Stenehjem hopes to have the staffers in place by July 1.

Medicaid is jointly funded by federal and state governments and provides health coverage for low-income people. Common examples of fraud include providers billing for services that weren't performed and double billing, and the unit will also be responsible for fighting patient abuse or neglect.

Read more: https://www.inforum.com/news/government-and-politics/2722134-North-Dakota-becoming-last-state-to-create-unit-tackling-Medicaid-fraud