Inside the Office > Criminal Division > Special Prosecution

Medicaid Recipient Fraud

The Medicaid Recipient Fraud Unit (MRFU) of the South Carolina Attorney General’s Office investigates and takes appropriate action against Medicaid beneficiaries suspected of fraud and abuse. Specifically, the MRFU investigates and takes appropriate action in cases where Medicaid recipients are alleged to have:

  • Submitted a false application for Medicaid
  • Provided false or misleading information about income, assets, family members, or resources
  • Shared a Medicaid card with another individual
  • Sold or bought a Medicaid card
  • Diverted for resale prescription drugs, medical supplies, or other benefits
  • Participated in doctor or pharmacy shopping
  • Obtained Medicaid benefits that they were not entitled to through other fraudulent means

MRFU holds individuals accountable through criminal prosecution and recovery of benefits lost due to fraud.  Suspected Medicaid recipient fraud should be reported to the South Carolina Department of Health and Human Services via the toll-free tip line: 1-888-364-3224

Contact Us

You may also report suspected fraud to Attorney General Alan Wilson’s Medicaid Recipient Fraud Unit.  Tips may be made anonymously.

Toll-free hotline: 1-888-364-3224 

South Carolina Attorney General’s Office
Attn: Medicaid Fraud Control Unit
Post Office Box 11549
Columbia, SC 29211-1549