Which department is responsible for monitoring and recertifying Medicaid Fraud Control Units (MFCUs)?

The Office of Inspector General (OIG) is responsible for monitoring and recertifying Medicaid Fraud Control Units (MFCUs). The OIG plays a crucial role in overseeing the integrity of Medicaid programs and investigating issues related to fraud, waste, and abuse. It establishes guidelines and standards for MFCUs and ensures that they are operating effectively and in compliance with federal laws. This oversight includes the recertification process, which verifies that MFCUs are meeting the operational requirements set by federal regulations.

In contrast, while the Centers for Medicare & Medicaid Services (CMS) administers the overall Medicaid program, its primary focus is not specifically on the monitoring of MFCUs. The Federal Bureau of Investigation (FBI) is involved in investigating serious crimes including healthcare fraud, but it does not have direct oversight over MFCUs. The Department of Health and Human Services (DHHS) is the overarching department that encompasses various health-related agencies, including CMS and OIG, but it is the OIG specifically that handles the monitoring and recertification of MFCUs.