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Health Care Fraud

The Attorney General's Office battles fraud in the health care industry through the Medicaid Fraud Control Unit and the Workers' Compensation Fraud Unit. The Medicaid Fraud Control Unit is responsible for the investigation and prosecution of health care providers accused of defrauding the state's Medicaid program. In addition, this Unit also enforces Ohio's Patient Abuse and Neglect Law, which protects the mentally and physically disabled and the elderly from neglect and abuse in Ohio's long-term care facilities. The Workers' Compensation Fraud Unit is responsible for prosecuting claimants, employers and health care providers who defraud the Ohio Workers' Compensation Program.

During 2004, the Office handled 961 cases, filed criminal charges against 214 individuals or companies, and obtained 151 convictions. In addition, the Section secured $38.9 million in civil and criminal restitution and penalties and was reimbursed for over $100 thousand in investigative costs.