State Medicaid Fraud Control Units (93.775)
State Medicaid Fraud Control Units (Assistance Listing 93.775) is run by the Office of the Inspector General, part of the Department of Health and Human Services. It awarded $1.5 billion in 265 grants from fiscal 2021 to 2025, about $5.5 million per award on average. No funding opportunity is open on Grants.gov right now.
The typical award was $2.7 million. Half of the 265 awards fell between $1.3 million and $5.5 million, and they ranged from $297,739 to $69.2 million.
- Awarded, FY 2021 to 2025$1.5 billion
- Grant awards265
- Typical award$2.7 million
- Awarded in FY 2025$323 million
- Size rank211 of 1,823
- Type of assistanceFormula grants
Key findings
- Annual funding rose from $229 million in fiscal 2021 to $323 million in fiscal 2025.
- It is the 211th largest of 1,823 federal grant programs by five-year awards.
- The 20 largest recipients received 79% of the money.
- Awards went to recipients in 53 states and territories.
What the program funds
To investigate and prosecute Medicaid provider fraud as well as patient abuse or neglect in health facilities and board and care facilities and of Medicaid beneficiaries in non-institutional or other settings.
Open opportunities
No opportunity under this program is open or forecast on Grants.gov right now. Programs often post once a year, so the funding history below shows what to expect.
Rules from the program listing
Who can apply
States, the District of Columbia, and the U.S. Territories. An established State Medicaid Fraud Control Unit must be a single identifiable entity of the State government which the Secretary certifies (and the Office of Inspector General annually re-certifies) as complying with the requirements of 1903(q) of the Social Security Act (42 CFR 1007) regarding location, function and procedure. Applicants must also comply with section 1902 (a)(61) of the Act as amended by the Omnibus Budget Reconciliation Act of 1993. Tribes (American Indian/Alaskan Native/Native American) are not eligible to apply.
What the money can and cannot pay for
The statute authorizes 90 percent matching funds for the first 12 quarters, and 75 percent matching funds thereafter for investigation and prosecution of fraud and patient abuse in the State Medicaid Programs. A unit must be separate and distinct from the single State Medicaid agency. A unit must also employ sufficient professional, administrative and support staff to carry out its duties and responsibilities in an effective and efficient manner.
Matching requirements
This program has no statutory formula. Matching requirements are not applicable to this assistance listing. This program has MOE requirements, see funding agency for further details. N/A
Deadlines
Contact the headquarters or regional location, as appropriate for application deadlines
Award range and average, in the agency's words
FY 2023: Range $371,048 to $53,792,132; Average $6,235,173
Funding history and past recipients
From fiscal 2021 to 2025, State Medicaid Fraud Control Units (93.775) awarded $1.5 billion across 265 grant awards, an average of $5.5 million per award.
Who usually wins
Almost all of the money went to state and local governments.
| Recipient type | Awards | Amount | Share |
|---|---|---|---|
| State and local governments | 265 | $1.5 billion | 100% |
By state
Each state below has its own page for this program, with its recipients and yearly totals.
| State | Awards | Amount |
|---|---|---|
| California | 5 | $245 million |
| New York | 5 | $213 million |
| Texas | 5 | $93.4 million |
| Florida | 5 | $82.2 million |
| Ohio | 5 | $61.8 million |
| Virginia | 5 | $55.6 million |
| Pennsylvania | 5 | $46.1 million |
| Washington | 5 | $40.8 million |
| Tennessee | 5 | $36.0 million |
| Louisiana | 5 | $36.0 million |
| Illinois | 5 | $34.4 million |
| Indiana | 5 | $31.7 million |
| North Carolina | 5 | $31.4 million |
| New Jersey | 5 | $26.8 million |
| Massachusetts | 5 | $25.6 million |
| Michigan | 5 | $24.1 million |
| Maryland | 5 | $23.8 million |
| Georgia | 5 | $21.8 million |
| Arizona | 5 | $19.6 million |
| Kentucky | 5 | $18.6 million |
| Minnesota | 5 | $17.2 million |
| Mississippi | 5 | $15.5 million |
| Oregon | 5 | $14.6 million |
| Arkansas | 5 | $14.2 million |
| Colorado | 5 | $14.1 million |
| Oklahoma | 5 | $13.9 million |
| District of Columbia | 5 | $13.5 million |
| Utah | 5 | $13.4 million |
| New Mexico | 5 | $13.4 million |
| Nevada | 5 | $12.3 million |
| Missouri | 5 | $11.1 million |
| Connecticut | 5 | $10.5 million |
| South Carolina | 5 | $9.8 million |
| Kansas | 5 | $9.5 million |
| Delaware | 5 | $9.3 million |
| West Virginia | 5 | $9.1 million |
| Hawaii | 5 | $8.8 million |
| Alaska | 5 | $7.9 million |
| Wisconsin | 5 | $7.0 million |
| Alabama | 5 | $6.3 million |
| Maine | 5 | $5.8 million |
| Vermont | 5 | $5.4 million |
| Nebraska | 5 | $5.3 million |
| Rhode Island | 5 | $5.0 million |
| Idaho | 5 | $4.2 million |
| Iowa | 5 | $4.2 million |
| Puerto Rico | 5 | $4.2 million |
| North Dakota | 5 | $4.1 million |
| New Hampshire | 5 | $3.7 million |
| Montana | 5 | $3.6 million |
| South Dakota | 5 | $2.8 million |
| U.S. Virgin Islands | 5 | $2.2 million |
| Wyoming | 5 | $1.9 million |