Attorney General Josh Stein’s Medicaid Investigations Division Surpasses $1 Billion in Recoveries

For Immediate Release:
Monday, October 10, 2022

Contact: Nazneen Ahmed

(RALEIGH) Attorney General Josh Stein today announced that his Medicaid Investigations Division (MID) has surpassed $1 billion in recoveries and restitution since the beginning of the division’s creation in 1979. Since its creation, MID has won 673 criminal convictions and 510 civil recoveries.

“I am so proud of our Medicaid Investigations team for their hard work on behalf of North Carolina’s taxpayers,” said Attorney General Josh Stein. “This team is smart and dogged in their efforts to protect North Carolinians’ wallets. I thank all of them for their hard work. I’m also grateful for our state and federal partners who are crucial to helping us win these cases and the conscientious people who report Medicaid fraud concerns to our office.”

The Attorney General’s MID investigates and prosecutes health care providers that defraud the Medicaid program. MID also investigates and prosecutes patient abuse of any patient in a facility that receives Medicaid funding, and misappropriation of any patients’ private funds in a nursing home that receives Medicaid funding. Medicaid is a joint federal-state program, so MID works closely with federal partners including the U.S. Department of Justice, the FBI, the IRS, the Office of Inspector General for the U.S. Department of Health and Human Services, and the U.S. Postal Inspection Service. MID also works closely with the NCDHHS Office of Compliance and Program Integrity and NCDHHS Information Technology Division.

Since Attorney General Stein took office in 2017, the MID has won or helped win more than $220 million in restitution and recoveries. Some notable matters include:

To report Medicaid fraud or patient abuse in North Carolina, call the MID at 919-881-2320. The MID receives 75 percent of its funding from the U.S. Department of Health and Human Services under a grant award totaling $6,106,236 for Federal fiscal year (FY) 2022. The remaining 25 percent, totaling $2,035,412 for FY 2022, is funded by the State of North Carolina.


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