Medicaid, the State and City program providing medical care for those without the means to properly obtain it, is supported in large part by IREA’s work at verifying eligibility and investigating fraud and abuse. Due to the analytical nature of IREA’s investigative efforts, most Medicaid cases assigned to IREA are recommended for closure. IREA investigates client fraud and abuse along with investigating and auditing providers to ensure Medicaid providers do not abuse the system. In 2013, IREA’s Medicaid efforts recovered $141.9 million and saved another $525.7 million in cost avoidance.
Medical Assistance 2012 & 2013: