US New Jersey Ineligible Medicaid Providers

The New Jersey Medicaid Fraud Division audits and investigates health care providers, recipients, and managed care organizations (MCOs) that coordinate the provision of an individual's health care needs. MFD evaluates the care provided to Medicaid recipients and works to detect fraud, waste, and abuse in the program. The Division pursues civil and administrative enforcement actions, and, when necessary, disqualifies providers from participating in the Medicaid program.

See also the Medicaid Fraud Control Unit in the New Jersey Office of the Insurance Fraud Prosecutor, and the Medical Debarment Search tool at the New Jersey Treasury.