STOP FRAUD in Medicaid Act

The STOP FRAUD in Medicaid Act expands the scope of Medicaid fraud investigations by directing state Medicaid fraud control units to examine not just providers but also individuals who apply for or receive benefits. This change requires states to investigate and prosecute fraudulent activities involving both healthcare providers and beneficiaries seeking or receiving Medicaid coverage. The bill amends existing federal law to explicitly include individuals in the definition of entities subject to fraud control unit oversight. These provisions take effect 180 days after the law is enacted, giving states time to adjust their investigation procedures.