This fact sheet outlines the Hawaiʻi Medicaid Fraud Control Unit’s (MFCU) structure, workload, and its approved budget of $3.9 million for fiscal year 2026, funded 75 percent federally and 25 percent by the state. The unit operates within the Department of the Attorney General and runs multi‑disciplinary investigations into Medicaid provider fraud, program administration fraud, and abuse/neglect of beneficiaries. While no specific procurements are named, the dedicated FY 2026 budget and a 15‑person staff indicate ongoing needs for investigation tools, case management, data analytics, training, and support services to handle hundreds of fraud and abuse cases annually. Vendors in healthcare fraud analytics, case management systems, investigator tools, and training/consulting can position solutions by aligning with the unit’s mission and federal reporting expectations for MFCUs.

MFCU handled 484 investigations in FY 2025 and secures civil settlements and judgments, suggesting c...