North Carolina and Georgia to Lead National Medicaid Fraud Control Association After Recovering Over $2 Billion in FY2025
North Carolina Attorney General Jeff Jackson and Georgia Attorney General Chris Carr announced on November 10 in Atlanta that their state Medicaid Fraud Control Unit directors, F. Edward (Eddie) Kirby, Jr. and Jim Mooney, were elected to serve as president and vice president of the National Association of Medicaid Fraud Control Units (NAMFCU) for the upcoming year. The association, established in 1978, includes the Medicaid Fraud Control Units of all 50 states, the District of Columbia, Puerto Rico and the Virgin Islands.
Kirby leads North Carolina's Medicaid Investigations Division, while Mooney is a Georgia Deputy Attorney General overseeing the Medicaid Fraud and Patient Protection Division. Jackson said the division and Kirby are national leaders in fighting Medicaid fraud. Carr said Medicaid fraud is not a victimless crime but theft of taxpayer dollars that undermines a system meant to support the most vulnerable citizens, noting Georgia's work to protect older and disabled adults, prosecute providers for rampant fraud and shut down dangerous unlicensed personal care homes.
T. March Bell, Inspector General of the Department of Health and Human Services Office of Inspector General, said strong federal-state collaboration is critical to rooting out fraud, protecting beneficiaries and preserving public trust. State units work with local, state and federal law enforcement partners, state Medicaid programs and managed care organizations, and the Inspector General's office oversees the units and funds 75 percent of them.
In federal fiscal year 2025, the units recovered more than $2 billion in criminal and civil enforcement, obtained 1,185 convictions and recovered $4.64 for every $1 in grant expenditures. In FY2024 they recovered $1.4 billion with 1,151 convictions and $3.46 per $1. A record 50 units took part in the 2026 National Healthcare Fraud Takedown coordinated by the U.S. Department of Justice.
North Carolina's unit receives 75 percent of its funding from HHS under a grant totaling $8,729,788 for FY2027, with the state providing $2,909,927. Georgia's division receives a $5,816,722 federal grant for FY2027, with the state providing $1,938,924. Medicaid fraud can be reported in North Carolina at 919-881-2320 and in Georgia at 404-458-2878.
(Source: Georgia Attorney General's Office)
Source: Georgia Attorney General's Office
Published by GSM · USA (original Chinese edition)
Photo: 图：位于 Atlanta 的乔治亚州议会大厦北面。DXR 摄，CC BY-SA 4.0，经 Wikimedia Commons。 / Photo: North view of the Georgia State Capitol in Atlanta. Photo by DXR, CC BY-SA 4.0, via Wikimedia Commons.
