Attorney General Chris Carr and North Carolina Attorney General Jeff Jackson announced that their state Medicaid Fraud Control Unit directors, F. Edward Kirby, Jr. and Jim Mooney, were elected to serve as the president and vice president of the National Association of Medicaid Fraud Control Units (NAMFCU) for the upcoming year.
What is NAMFCU, and what does it do? Established in 1978, NAMFCU is a professional association that includes the Medicaid Fraud Control units for all 50 states, the District of Columbia, Puerto Rico, and the Virgin Islands.
NAMFCU works to combat Medicaid provider fraud and protect the vulnerable from abuse, neglect, and misappropriation of financial resources.
With these two new elections, Georgia and North Carolina are set to lead this national effort and continue its incredible success. In Fiscal Year 2025 alone, units recovered more than $2 billion from their criminal and civil cases.
What key figures had to say:
- AG Chris Carr: "Medicaid fraud isn’t a victimless crime. It’s theft of taxpayer dollars and undermines a system meant to support our most vulnerable citizens. Under the leadership of Deputy Attorney General Jim Mooney, our Medicaid Fraud and Patient Protection Division has fought to protect older and disabled adults, prosecuted providers for rampant fraud, and shut down dangerous and unlicensed personal care homes."
- AG Jeff Jackson: “Our Medicaid Investigations Division and Eddie Kirby are national leaders in fighting Medicaid fraud. Eddie’s election as president of the national association is a testament to our success fighting Medicaid fraud. With North Carolina and Georgia at the helm, we’re going to see even more success in our work to fight fraud and protect taxpayer dollars.”
Further Context: State Medicaid Fraud Control units work closely with local, state, and federal law enforcement partners, as well as the state Medicaid programs and managed care organizations.
The Department of Health and Human Services Office of Inspector General oversees state units and ensures they are complying with federal requirements. They also fund 75% of state units.
