Medicaid Fraud & Residential Abuse Unit

The Medicaid Fraud and Residential Abuse Unit (MFRAU) investigates and prosecutes:

• fraud by healthcare providers in the Vermont Medicaid program;
• fraud in the administration of the Vermont Medicaid program; and,
• the abuse, neglect, and financial exploitation of individuals who live in Vermont skilled nursing facilities and board and care facilities.

MFRAU is designated as the Medicaid fraud and residential abuse control unit for the State of Vermont and is housed within the Criminal Division of the Attorney General’s Office. MFRAU has both criminal and civil enforcement powers and brings affirmative civil claims on behalf of the State to enforce Vermont’s laws. MFRAU also works on cases arising under the Vermont False Claims Act involving Medicaid Fraud.

MFRAU receives 75 percent of its funding from the U.S. Department of Health and Human Services under a grant award totaling $999,572 for Federal fiscal year FY 2020. The remaining 25 percent, totaling $333,192 for FY 2020, is funded by the State of Vermont.

How Do I…

Learn more about Medicaid Fraud or report suspected fraud?

Learn about or report a concern about physical or emotional abuse, neglect or theft related to Medicaid-provided services?

Drug Diversion in Vermont: When Healing Hands Harm

Click here to request a copy of the video.

There is a widespread national problem of health care professionals addicted to opiates intended for their patients’ pain management. Four local case studies of individuals prosecuted for diverting prescription medications for personal purposes are presented in interviews with the former addicts, health care administrators, representatives of the criminal justice system, and with the widow of a victim of the drug diversions. Funded by a grant from the U.S. Dept of Health and Human Services Office of the Inspector General and the State of Vermont.

For the full length film or more information, contact 802-828-5511

Medicaid Fraud Annual Report

• 2018 Vermont Medicaid Fraud & Residential Abuse Unit Annual Report July 1, 2017 – June 30, 2018
• 2017 Vermont Medicaid Fraud & Residential Abuse Unit Annual Report July 1, 2016 – June 30, 2017
• 2016 Vermont Medicaid Fraud & Residential Abuse Unit Annual Report July 1, 2015 – June 30, 2016
• 2015 Vermont Medicaid Fraud & Residential Abuse Unit Annual Report July 1, 2014 – June 30, 2015
• 2014 Vermont Medicaid Fraud & Residential Abuse Unit Annual Report July 1, 2013 – June 30, 2014
• 2013 Vermont Medicaid Fraud & Residential Abuse Unit Annual Report July 1, 2012 – June 30, 2013
• 2012 Vermont Medicaid Fraud & Residential Abuse Unit Annual Report July 1, 2011 – June 30, 2012
• 2011 Vermont Medicaid Fraud & Residential Abuse Unit Annual Report July 1, 2010 – June 30, 2011