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North Carolina Department of Justice
North Carolina Department of Justice
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Medicaid Criminal Investigations Unit

The Medicaid Criminal Investigations Unit investigates fraud committed by Medicaid health care providers and the physical abuse of patients in Medicaid-funded facilities. The unit also investigates embezzlement, theft, and the improper co-mingling of patients' funds in Medicaid-funded facilities.
 
A Medicaid provider includes any individual, corporation, or other entity, and their officers and employees, paid by Medicaid for providing a health care service. This can include ambulance and transportation companies, chiropractors, dentists, home health agencies, hospitals, laboratories, medical equipment companies, nurses, nurse aides, nursing homes, pharmacies, physicians, physical therapists, podiatrists, and speech therapists.
 
The section's Special Agents work with attorneys, investigators, and auditors in the Attorney General's Medicaid Investigations Unit all of whom are trained in the complexities of health care fraud investigations and health care fraud litigation. In addition, the unit works closely with United States attorneys, district attorneys, federal and state law enforcement agencies, and private insurance company fraud units. 
 

Special Agent in Charge:   Mark A. Isley