Nevada Medicaid fraud unit gets federal recertification with top-rank findings

Source: This report is based on an official public release from John T. Sadler. PULSE organizes and summarizes public government communications.

The federal Office of the Inspector General has recertified Nevada's Medicaid Fraud Control Unit (MFCU) after reviewing its performance and findings.

Over the past three fiscal years, Nevada's MFCU reported 75 fraud convictions, the highest count among 11 similar units across the country. In fiscal year 2025 alone, the unit reported 314 fraud investigations, 35 convictions, 25 indictments, 13 civil settlements and judgments, and recovered $18.5 million.

"The Nevada MFCU has achieved significant success and demonstrates the beneficial impact a high-performing MFCU can have for taxpayers and for those served by the Nevada Medicaid program," the federal inspector general wrote in the recertification letter.

The MFCU investigates and prosecutes financial fraud by healthcare providers and also handles elder abuse and neglect cases. The unit receives 75 percent of its funding from the U.S. Department of Health and Human Services under a grant, with the state providing 25 percent.