Medicaid Fraud & Residential Abuse Unit

The Vermont Medicaid Fraud and Residential Abuse Unit investigates and prosecutes abuse and neglect occuring in either a Medicaid-funded health care facility or in a board and care facility regardless of payor. In addition, the unit investigates and prosecutes fraud against the Medicaid system by individuals or companies who provide services or Medicaid-reimbursed goods, as well as incidents of fraud in the administration of the Medicaid program. The team includes attorneys, investigators, analysts and a legal technician.

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