National Association of Medicaid Fraud Control Units

National Association of Medicaid Fraud Control Units National Association of Medicaid Fraud Control Units

103 Medicaid Fraud

The 103 Medicaid Fraud Training Program is the most recently developed program and is the most challenging of NAMFCU’s training programs.  It is an intensive three day program where attendees work through a multi-level complex fraud scheme involving a laboratory providing urine screens for drug treatment. The students are divided into four groups, civil, criminal, federal health care fraud statutes and model state criminal statutes.

In order to attend the 103 Medicaid fraud training program the following pre-requisites apply; completion of the 102 Medicaid fraud training program plus four to five years employment in a MFCU. Or 7 or more years with a MFCU.

Both the 102 and 103 training programs are primarily a “learn by doing” with group discussions.  These programs are aimed at increasing the participant’s analytic abilities by focusing on provider types that many MFCU employees may be unfamiliar with.  Working in a team with each of the MFCU professional disciplines and effectively communicating the results of an investigation is emphasized.