北卡罗来纳与乔治亚领衔全国医疗补助欺诈控制协会：两州部门负责人当选正副会长，全美2025财年追回逾20亿美元
乔治亚州总检察长办公室11月10日在 Atlanta 公布，北卡罗来纳州总检察长 Jeff Jackson 与乔治亚州总检察长 Chris Carr 当天联合宣布，两州医疗补助（Medicaid）欺诈控制部门负责人 F. Edward (Eddie) Kirby, Jr. 与 Jim Mooney 分别当选全国医疗补助欺诈控制单位协会（NAMFCU）新一年度会长与副会长，该协会成员涵盖全美50个州以及哥伦比亚特区、波多黎各与美属维尔京群岛的欺诈控制单位。
Kirby 领导北卡罗来纳州总检察长办公室下属的医疗补助调查处，Mooney 是乔治亚州副总检察长、主管该州医疗补助欺诈与患者保护处。Jackson 表示，北卡的医疗补助调查处与 Kirby 是打击医疗补助欺诈的全国领跑者，Kirby 当选全国协会会长正是对该州战绩的肯定。Carr 表示，医疗补助欺诈不是没有受害者的犯罪，而是窃取纳税人钱款、破坏本应支持最弱势群体的制度，乔治亚的部门致力于保护长者与残障成年人、起诉大规模欺诈的服务提供者并关停危险的无证个人护理院。
联邦卫生与公众服务部监察长办公室监察长 T. March Bell 表示，联邦与各州之间强有力的协作对根除欺诈、保护受益人和维护公众对医疗项目的信任至关重要。各州欺诈控制单位与地方、州和联邦执法伙伴以及州医疗补助项目和托管护理组织密切合作，监察长办公室负责监督各单位并为其提供75%的经费。
协会成立于1978年。据公布数字，2025联邦财年各州单位在刑事与民事执法中共追回逾20亿美元、取得1,185项定罪，每投入1美元补助经费追回4.64美元；2024联邦财年追回14亿美元、定罪1,151项，每1美元追回3.46美元。由美国司法部协调的2026年全国医疗欺诈打击行动中，有创纪录的50个州欺诈控制单位参与。
经费方面，北卡单位2027联邦财年获联邦卫生与公众服务部补助8,729,788美元、占其经费75%，州政府出资2,909,927美元；乔治亚单位获联邦补助5,816,722美元、占75%，州政府出资1,938,924美元。在北卡举报医疗补助欺诈可拨打919-881-2320，在乔治亚可拨打404-458-2878，也可通过两州总检察长办公室的在线表格举报。
（来源：乔治亚州总检察长办公室）
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)
来源：乔治亚州总检察长办公室
发布：GSM·美国（发布链接）
图片来源：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.
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