February 2026 Hybrid (In-Person & Virtual): Overview of Medicaid Fraud and Investigations

Speaker: Justin Gates - Chief Special Agent, Health Care Fraud: Office of Ohio Attorney General Dave Yost

Topic: Overview of Medicaid Fraud and Investigations

Description:

Justin Gates from the Ohio Medicaid Fraud Control Unit (MFCU) will present on the basics of Medicaid and Medicaid fraud investigations. The goal of the presentation is to provide attendees with a basic understanding of the MFCU and their investigations and demonstrate how various partnerships have been successful in Ohio. 

CPE: 1 hour

CPE credits are based on a 50-minute hour.  CPE is offered through the ACFE as well as the Accountancy Board of Ohio (sponsor number CPE.00467).  Attendees must attend 50 minutes of the meeting and answer 3 polling questions during the meeting to validate attendance. 

Learning Objectives: 

Promotion of improved fraud detection and deterrence and through expansion of knowledge in relation to the session's topic.

Prerequisites: None

Speaker Bio: 

Justin Gates is a Chief Special Agent in the Medicaid Fraud Control Unit (MFCU) of the Ohio Attorney General’s Health Care Fraud Section.  In this capacity, he supervises the unit’s Intake Team, Evidence Team, and Three Investigative Teams. 

Justin has over twenty years of investigative experience with the Ohio Attorney General’s office where he has worked as an Economic Loss Investigator investigating claims against Ohio’s Crime Victim Compensation Program; and as a Special Agent and Special Agent Supervisor investigating health care providers accused of defrauding the state’s Medicaid program, as well as those who abuse or neglect individuals in long-term care facilities and assisted living facilities throughout the state of Ohio. 

Note on Box Lunches: For in-person attendees who select and pay for a box lunch, we will order a box lunch from Chick-fil-A.