Statement on Federal Decertification of the New York Medicaid Fraud Control Unit

Source: United States Department of Justice Criminal Division

The Department of Health and Human Services Office of Inspector General (HHS-OIG) has formally denied the recertification of the New York State Medicaid Fraud Control Unit (MFCU) and suspended its federal funding effective July 1, 2026. According to HHS-OIG’s findings, New York’s MFCU—despite receiving roughly $60 million in federal funding each year and employing more than 270 staff—has repeatedly produced the lowest levels of criminal Medicaid fraud enforcement among large states.