Hawaii’s Medicaid Fraud Control Unit has produced zero indictments and convictions for four straight years, marking the worst enforcement record in the nation according to federal data.
- Hawaii is the only state with no Medicaid fraud indictments or convictions in each of the last four years.
- Federal reviews in 2015 and 2019 found serious operational deficiencies and low case outcomes in Hawaii’s fraud control unit.
- Most of Hawaii’s $4.3 million in settlements from 2016-2018 came from federal multi-state cases, not local investigations.
- The state’s fraud referral system has significant gaps, with inadequate data mining and insufficient outreach to identify cases.
- Hawaii’s Department of Human Services made only nine fraud referrals between 2013-2015, well below expected levels.
Source: Hawaii Free Press
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