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Image of the Virginia AG Seal

Commonwealth of Virginia
Office of the Attorney General

Mark Herring
Attorney General

202 North Ninth Street
Richmond, Virginia 23219

 

For media inquiries only, contact:  
Charlotte Gomer, Press Secretary
Phone: (804)786-1022 
Mobile: (804) 512-2552
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

HEAD OF VIRGINIA’S MFCU ELECTED PRESIDENT OF NATIONAL ASSOCIATION OF MEDICAID FRAUD CONTROL UNITS

~ During Attorney General Herring’s time in office MFCU has recovered $91,525,956 ~

RICHMOND (October 2, 2018) – Attorney General Mark R. Herring announced today that Randy Clouse, Director of the Virginia Medicaid Fraud Control Unit (MFCU), has been elected President of the National Association of Medicaid Fraud Control Units (NAMFCU). Randy has been the Director of Virginia’s MFCU for nearly 20 years and under his leadership the unit has grown from 12 to 102 members and recovered over $2 billion in court ordered restitution fines and penalties for the Virginia Medicaid program.

 

“I cannot think of a more worthy and qualified person to serve as President of NAMFCU,” said Attorney General Mark Herring. “Randy has been the head of our MFCU for almost 20 years, and in that time he has grown the unit exponentially and recovered more than $2 billion for Virginia. I want to congratulate Randy on this honor and thank him for all of his hard work making Virginia’s MFCU one of the best in the country.”

 

“The outstanding results are the direct reflection of the great work of the employees of the MFCU and outstanding relationships we have with our federal counterparts, the United States Attorneys Offices for the Western and Eastern Districts, the FBI, IRS, DEA, FDA and HHS-OIG and the Department of Medical Assistance Services,” said Randy Clouse.

 

About Randy Clouse

Randy joined the Virginia Attorney General’s Office in May 1999 as the Director of the Virginia Medicaid Fraud Control Unit. Prior to joining the MFCU, Randy was a Police Officer with the Richmond Police Department. While in that capacity, he was a Detective assigned to the Organized Crime Division’s Vice Squad infiltrating street level illegal narcotics, prostitution, worked outlaw biker gangs and satanic cults. During Randy’s last three years in the Organized Crime Division, he was the Undercover Coordinator where he supervised multi-jurisdictional undercover sting operations targeting organized crime, organized prostitution rings and human trafficking. During his last two years in the Department, he was assigned to work Violent Crimes and Homicides. He attended California University, in Pittsburgh Pennsylvania, majoring in Criminal Justice. 

 

Randy has been a member of the National Association of Medicaid Fraud Control Unit’s Executive Committee for five years and served as Vice President for the last year. Randy will be the first non-attorney to be president in the 40 year history of the National Association of Medicaid Fraud Control Units. As President of NAMFCU, Randy will continue to work closely with the National Association of Attorney’s General and the NAMFCU Executive Committee to continue their outstanding work overseeing the Association’s training programs and multi-state cases involving health care fraud, the illegal prescribing of opioids and elder abuse and corporate neglect issues. 

 

About Virginia’s Medicaid Fraud Control Unit

The Virginia Medicaid Fraud Control Unit (MFCU) of the Office of the Attorney General was certified October 1, 1982, by the United States Department of Health and Human Services. The Unit is one of 50 units throughout the United States with the same mission. 

 

From the MFCU inception in 1982 through 1999, the Virginia MFCU recovered over $10 million in court ordered restitution, fines and penalties. From 1999 through present, under Randy Clouse’s leadership, the Virginia MFCU has recovered over $2 billion in court ordered restitution, fines and penalties. 

 

The MFCU employs a professional staff of criminal investigators, auditors, attorneys and support staff who work together to develop investigations and prosecute cases. The Virginia MFCU works regularly with federal, state and local law enforcement agencies to combat fraud, protect our most vulnerable citizens and to save taxpayer dollars.

 

In 2008, the Virginia Medicaid Fraud Control Unit received the State Fraud Award from the Department of Health and Human Services’ Office of Inspector General for achieving the highest amount of monetary recoveries in the history of all state Medicaid fraud control units in fiscal year 2007 with over $500 million in recoveries.

 

In 2013, the Virginia MFCU was named the number one MFCU in the country by the United States Department of Health and Human Services, Office of Inspector General.

 

In 2014, during Attorney General Herring’s first term, Virginia’s MFCU received the State Fraud Award from the Department of Health and Human Services’ Office of Inspector General for achieving, again, the highest amount of monetary recoveries in the history of all state Medicaid fraud control units in fiscal year 2013 with over $1 billion in recoveries. To this date, neither of those recoveries has been achieved by any other state MFCU. Also in 2014, Virginia’s MFCU was awarded the “Honest Abe” award from the Taxpayers Against Fraud Education Fund. 

 

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