Georgia DCH and Codoxo Take the Stage at NAMPI 2026 to Spotlight AI’s Role in Medicaid Fraud Investigations

Georgia Department of Community Health to co-present with Codoxo on Turning AI-Generated Leads into Actionable Medicaid Fraud Control Unit Referrals

DULUTH, Ga., August 19, 2026--Codoxo, the leading provider of AI and generative AI-powered healthcare payment integrity solutions, announced today that Derik Ciccarelli, the company's Director of Fraud Scope Operations, will moderate a session at the National Association for Medicaid Program Integrity's (NAMPI) 2026 Annual Conference on Monday, August 24, from 10:10-11:10 a.m. PDT in Portland, Oregon.

In the session titled "From AI-Generated Leads to Referral to Medicaid Fraud Control Unit (MFCU): How Program Integrity Investigations Progress from Detection to Credible Allegations of Fraud," Ciccarelli will lead a discussion with Johnny R. Brooks, MPA, CIG, Director of Program Integrity at the Georgia Department of Community Health (DCH), and Sara Rodriguez, CPC, CPIP, Healthcare Fraud Analyst at Codoxo, about real-world investigations from the Georgia DCH. Together, they will examine cases involving alleged identity theft, uncredentialed providers, medically unnecessary equipment, and other fraud schemes across primary care, behavioral health, durable medical equipment, and laboratory services.

The session will also explore how the Georgia DCH collaborated with the Medicaid Fraud Control Unit and other agencies as cases progressed from investigation to referral to state or federal law enforcement. The discussion will emphasize the claims analysis, medical record review, interviews, site visits, and interagency collaboration used to transform AI-generated leads into actionable MFCU referrals.

"AI can surface a lead in seconds, but turning that signal into a credible referral still requires careful investigative work," said Derik Ciccarelli, Director of Fraud Scope Operations at Codoxo. "This session will give program integrity teams a practical view of how real cases are validated, developed, and referred to an MFCU."

The session reflects a broader challenge facing state Medicaid agencies: fragmented systems and disconnected data can make it harder to carry insights from detection through investigation and recovery. Codoxo's Unified Cost Containment Platform connects pre-claim prevention, prepay review, and post-pay investigation and recovery, helping agencies identify fraud, waste, and abuse earlier and manage payment integrity across the full lifecycle.

Codoxo is a Platinum Sponsor of NAMPI 2026, and attendees can visit the team at Booth #4 throughout the conference to learn more about Codoxo's Unified Cost Containment Platform and its capabilities across the Medicaid payment lifecycle. For more information, visit nampi2026.vfairs.com.