Medicaid fraud is a significant problem in New Jersey and may only increase with the expansion of the program. That’s why the Office of the State Comptroller has a division set up to track down fraud whether committed by providers or clients.
In 2016, the division recovered $112.6 million in improperly paid Medicaid funds, a 30 percent increase from 2015. In addition, the division claims its proactive anti-fraud efforts saved taxpayers $814.5 million, although it did not outline what those efforts were.
The division also received 1,975 complaints or tips regarding Medicaid fraud, of which 433 cases were reviewed and 13 claims were denied.