New Jersey Comptroller Reports $132 Million in Medicaid Recoveries for 2025

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12/1/2025

On October 7, 2025, the New Jersey Office of the State Comptroller (OSC) announced that it recovered more than $132 million in New Jersey Medicaid funds in 2025, an 11% increase from 2024, through the efforts of OSC’s Medicaid Fraud Division. This represents the second-highest recovery in the past decade. Overall, OSC has recovered over $1 billion in Medicaid funds during that time. Through audits, investigations, and data reviews, OSC’s Medicaid Fraud Division identifies fraud, waste, and abuse, and works to recover improper payments. In partnership with an outside vendor, OSC also detects cases where Medicaid was incorrectly billed.

In 2025, 10 healthcare providers voluntarily disclosed having received inappropriate Medicaid payments and returned approximately $1.8 million to Medicaid. Between 2019 and 2025, OSC recovered $10.18 million from 80 providers who self-reported improper payments. OSC encourages providers to self-report overpayments, noting that it generally leads to more favorable outcomes. OSC typically does not impose penalties when it accepts a self-disclosure.

Click Here to read the entire December 2025 Healthcare Law Update now!

For more information, contact:
Joseph M. Gorrell | 973.403.3112 | jgorrell@bracheichler.com
Edward J. Yun | 973.364.5229 | eyun@bracheichler.com
Vanessa Coleman | 973.364.5208 | vcoleman@bracheichler.com

*This is intended to provide general information, not legal advice. Please contact the authors if you need specific advice.

Related Practices:   Healthcare Law

Related Industry:   Healthcare