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Medicaid

A joint federal and state program that helps cover healthcare costs for people with limited income and resources.

Social Security Act

A foundational federal law that established many of the country's social welfare programs, including Social Security and Medicaid.

Medicaid Fraud Control Unit (MFCU)

Specialized state law enforcement units that investigate and prosecute Medicaid provider fraud and patient abuse or neglect.

Beneficiary fraud

Fraud committed by an individual who receives or applies for Medicaid benefits, often by providing false information to become eligible or to receive services they are not entitled to.

Provider fraud

Fraud committed by healthcare providers (like doctors, hospitals, or pharmacies) who bill Medicaid for services not rendered, unnecessary services, or misrepresent services.

Enactment

The process of a bill becoming law after passing both chambers of Congress and being signed by the President or overriding a presidential veto.