2008-2009 ANNUAL REPORT - Virginia Attorney General

UNIT PROJECTIONS
The MFCU has an outstanding working relationship
with state, local and federal agencies. Some of
the key partner agencies are DMAS, the Offices of the
United States Attorney for the Eastern and Western
Districts of Virginia, the FBI, HHS-OIG, IRS-CID, the
Virginia Department of Health Professions, the Virginia
Department of Health, the Virginia Department of Social
Services, and local law enforcement. Attorney General
Bill Mims’ and former Attorney General Bob McDonnell’s
approach to the investigation of major fraud cases, in
conjunction with other state, local and federal agencies,
contributed to the positive results obtained by the Unit
last year.
At the end of the 2008-2009 reporting year, the
Unit had 42 active criminal investigations of healthcare
providers located throughout the Commonwealth. The
Civil Investigations Squad had opened 34 new civil cases.
In addition, 16 had been indicted and were awaiting trial
or sentencing in federal court.
The Unit will continue to participate in joint
federal/state task forces to investigate and develop
complex cases dealing with provider fraud in the
fee-for-service community and the institutional neglect
cases of patients in nursing homes. The Unit will also
continue to work closely with the Offices of the United
States Attorney for the Eastern and Western Districts
of Virginia, and the Affirmative Civil Enforcement
program to pursue Medicaid providers through the
Federal False Claims Act and the Virginia Fraud Against
Taxpayers Act. During state fiscal year 2009-2010, the
Unit projects that the investigative, prosecutive, and civil
recovery efforts of the Unit will result in 20 convictions,
with combined criminal and civil recoveries of more
than $35,000,000.
MFCU team members in Richmond communicate with other staff across the
Commonwealth. MFCU Director Randall Clouse, Senior Assistant Attorney General
and Deputy Director Michael T. Judge, Chief of Civil Investigations Erica Bailey and
Assistant Attorney General Candice Hooper
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