CARSON CITY, Nev. (KOLO) – Nevada Assemblyman Blayne Osborn says he is launching an inquiry into Nevada’s Medicaid fraud recovery process.
Osborn says he is seeking additional information about how cases are investigated, prosecuted and recovered.
Osborn submitted a series of questions to the Nevada Health Authority earlier this week regarding the distribution of recovered funds, as well as the coordination between Nevada Medicaid and the Attorney General’s Medicaid Fraud Control Unit.
In its response, the Health Authority says that around 40% of Medicaid fraud referrals submitted by Nevada Medicaid between 2019 and June 2026 were accepted by the AG’s Medicaid Fraud Control Unit for criminal investigation.
The NHA also told Osborn that Nevada Medicaid has received around $1.6 million from the AG’s office for Medicaid fraud recoveries but could not confirm whether the $40.9 million in recoveries claimed by Nevada Attorney General Aaron Ford has been collected or transmitted or remitted to the federal government.
“The information provided by the Nevada Health Authority helps clarify several aspects of Nevada’s Medicaid fraud recovery process, but it also raises additional questions,” said Assemblyman Osborn.“ I intend to continue this inquiry by requesting additional information from the Attorney General’s Office regarding its Medicaid Fraud Control Unit, including why only approximately 40 percent of referrals are accepted for criminal prosecution and clarifying where recovered monies are transmitted. As legislators, it’s important that we fully understand how Medicaid fraud is investigated and how taxpayer dollars are ultimately recovered.”
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