Medicaid Fraud &
Elder Abuse Division
The Medicaid Fraud and Elder Abuse Division is a criminal law enforcement
unit of the Attorney General’s Office that enforces the Medicaid Fraud
Act and the Resident Abuse and Neglect Act. The Division
investigates and prosecutes Medicaid providers who commit fraud and/or 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. And 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.