Medicaid Fraud and Patient Abuse Unit

The Nebraska Medicaid Fraud and Patient Abuse Unit (MFPAU) investigates and prosecutes Medicaid provider fraud and patient abuse and neglect.

About the Medicaid Fraud and Patient Abuse Unit

Medicaid is a program which provides health insurance for people who are unable to pay for such care, including disabled, elderly, and low-income patients. Medicaid is funded through both federal and State of Nebraska funds.

Medicaid providers are those doctors, dentists, hospitals, nursing homes, pharmacies, chiropractors, home health workers, medical equipment providers, and other persons and entities who are paid by the Medicaid program for the services they provide. Provider fraud occurs when a person or entity who is providing services to a Medicaid recipient misrepresents the services rendered to the State. The federal government requires that the State of Nebraska have a Medicaid Fraud and Patient Abuse Unit to recover money lost to fraud.

The MFPAU, as part of the Attorney General’s Office, is responsible for investigating and prosecuting Medicaid fraud and violations of all applicable state laws relating to the provision of Medicaid services and the activities of providers. The MFPAU has state-wide criminal jurisdiction over Medicaid provider fraud investigations and prosecutions. Additionally, the MFPAU has the authority to file civil actions under the False Medicaid Claims Act, Neb. Rev. Stat. § 68-934 et seq. 


Abuse, Neglect, and Financial Exploitation

The MFPAU also reviews and can act on complaints of abuse and neglect of patients at health care facilities that receive Medicaid payments. This includes both physical abuse or neglect and financial exploitation of a patient. Physical abuse includes anything from excessive force in the course of a prescribed treatment, to striking or even sexually assaulting a resident. Neglect can include withholding necessary and adequate food, physical care or medical attention, such as turning a patient who cannot move themselves. Financial abuse includes misuse or unauthorized use of a person’s trust funds, bank accounts, cash, or credit accounts.

To file a Medicaid fraud or patient abuse complaint: click here.

Reporting Fraud Information

If you suspect that someone is being abused, neglected, or exploited, please report it immediately to your local law enforcement or the Adult Protective Services 24 hour hotline.
 
Adult Protective Services 24 Hour Hotline:  1-800-652-1999
 
Report Suspected Fraud or Abuse by a Provider to:
ago.medicaid.fraud@nebraska.gov
(402) 471-3549 or toll-free at 1-800-727-6432
 
Report Suspected Fraud by Medicaid Recipients to:
DHHS.InvestigationsSIU@nebraska.gov
Lincoln and greater Nebraska: (402) 471-9407 
Omaha: (402) 595-3789
 
Resources

FAQ's About Medicaid Fraud & Patient Abuse

  • Q:  What is Medicaid?
  • Q:  What is Medicaid provider fraud?
  • Q:  What are some examples of provider fraud?
  • Q:  What does the Medicaid Fraud and Patient Abuse Unit do?
  • Q:  How does Medicaid provider fraud affect me?
  • Q:  How can I spot Medicaid fraud?
  • Q:  How can I report Medicaid provider fraud?
  • Q:  How can I report patient abuse, neglect, or financial exploitation?
  • Q:  Who do I contact if I suspect Medicaid recipient fraud?
  • Q:  Does Nebraska have a whistleblower statute?
  • Q:  Who do I contact for other Medicaid questions?