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Enforcement Actions

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Criminal and Civil Enforcement
View the latest criminal and civil enforcement actions related to the Office of Inspector General's investigative and legal work. These cases often result from OIG's work as part of its Most Wanted Health Care Fugitives initiative, the Medicare Fraud Strike Force, and other similar efforts. Since this work culminates in legal action by the U.S. Department of Justice (DOJ), links are provided to relevant news releases issued by DOJ or one of their 93 U.S. Attorneys.
State Enforcement Actions
View the latest enforcement actions from State Medicaid Fraud Control Units (MFCUs) and other State enforcement agencies. The MFCUs, typically a part of the State Attorney General's Office, investigate and prosecute Medicaid fraud as well as patient abuse and neglect in health care facilities. MFCUs operate in all 50 States, the District of Columbia, and the territories of Puerto Rico and the U.S. Virgin Islands.
Civil Monetary Penalties and Affirmative Exclusions
The Office of Inspector General (OIG) has the authority to seek civil monetary penalties (CMPs), assessments, and exclusion against an individual or entity based on a wide variety of prohibited conduct.
Corporate Integrity Agreement Enforcement
The OIG has, as a contractual remedy, the right to impose stipulated penalties for non-compliance with the requirements of a Corporate Integrity Agreement (CIA). A material breach of the terms of the CIA also may result in the provider's exclusion from participation in the Federal health care programs.