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The Medicaid Fraud and Elder Abuse Division is a criminal law enforcement unit of the Office of the Attorney General that enforces the Medicaid Fraud Act and the Resident Abuse and Neglect Act. The Division investigates and prosecutes Medicaid providers who commit fraud and resident abuse, neglect, and exploitation in long-term care facilities. The unit also pursues civil monetary repayment of Medicaid program funds when a Medicaid provider does not provide adequate services to recipients. The Division participates in multi-state cases to recover Medicaid funds that are inappropriately utilized by nationwide Medicaid providers. The Division staff is comprised of attorneys, investigators, auditors, and administrative staff. The Division receives 75% of its funding from a federal grant and 25% from the New Mexico Legislature.

Medicaid Fraud & Elder Abuse and Neglect Complaints

Please call 1-800-525-6519 to refer information regarding:

  • Medicaid provider fraud.
  • Abuse or neglect of residents in long term care facilities.