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Massachusetts government benefits fraud cases

Federal fraud prosecutions announced in Massachusetts, where to report fraud against public programs, and what Massachusetts and federal law pay whistleblowers.

DOJ announcements
134
Since January 20, 2025
Sentencings
34
Pleaded guilty 38 · Charged 31
Largest amount named
$110M
alleged loss · 2026

Fraud by program in Massachusetts

Where to report fraud in Massachusetts

Type of fraudReport to
Medicaid provider fraudMedicaid Fraud Division · Office of the Attorney General · (617) 963-2360 (Medicaid Fraud Tip line)
SNAP, child care assistance, cash assistanceReport public benefit fraud to the Office of the State Auditor (Bureau of Special Investigations; hotline (617) 727-6771)
Unemployment benefitsDepartment of Unemployment Assistance – Report unemployment benefits fraud
Medicare and other HHS programsHHS-OIG · 1-800-HHS-TIPS
Any WHIP-covered federal program, if you want a rewardAmerica.gov/fraud (how to submit)

Whistleblower rewards in Massachusetts

ProgramWhat it paysLaw
Massachusetts False Claims Act
Covers all state funds (Commonwealth and political subdivisions)
15–25% if the Attorney General proceeds (no more than 10% if the case is based primarily on public disclosures); 25–30% if the AG does not proceed (M.G.L. c. 12, § 5F)M.G.L. c. 12, §§ 5A–5O
Federal WHIP$10,000–$30,000 per tip that leads to criminal chargesDOJ terms
Federal False Claims Act15–25% of the recovery if the government intervenes; 25–30% if not31 U.S.C. § 3730(d)

Public-assistance fraud (DTA/SNAP, MassHealth recipient, EEC child care) is investigated by the State Auditor's Bureau of Special Investigations, not by DTA. HHS-OIG DRA review: Approved (12/28/16).

Estimate federal awards for your case with the calculator, or compare programs in WHIP vs the False Claims Act.

Latest announcements

DateAnnouncementProgramStageAmount
2026-10-14Former Massachusetts State Official Charged with SNAP FraudSNAPCharged—
2026-10-08Springfield Company Agrees to Pay $1.24 Million to Resolve Allegations of PPP Loan FraudPPP/EIDLCivil settlement$1.2M
2026-10-05Lead Defendant in Multi-State SNAP and PUA Fraud Conspiracy Sentenced to Two Years in Federal PrisonSNAPUnemploymentSentenced$1.1M
2026-10-01Worcester Man Indicted for Snap FraudMedicaidSNAPCharged—
2026-09-11Eye Practice and Physician Owner Agree to Pay $350,000 to Resolve Allegations of False Claims to MedicareMedicareCivil settlement$350K
2026-09-10Dompé U.S. Agrees to Pay $32M to Resolve False Claims Act Liability Relating to Self-Disclosure of Patient KickbacksMedicareCivil settlement$32M
2026-09-08Illegal Alien Sentenced for Passport and Benefit FraudMedicaidSNAPSentenced$305K
2026-09-08Illegal Alien Pleads Guilty to Healthcare Benefit Fraud and Aggravated Identity TheftMedicaidPleaded guilty$80K
2026-09-01Barre Woman Sentenced for Social Security FraudSocial SecuritySentenced$100K
2026-08-26Massachusetts State Representative Charged With Pandemic Loan Fraud and Money LaunderingPPP/EIDLUnemploymentCharged$700K
2026-08-26Massachusetts Mayor Indicted by Federal Grand Jury for Pandemic Loan Fraud and Money LaunderingPPP/EIDLCharged—
2026-08-21Massachusetts Woman Sentenced for Bank FraudSocial SecuritySentenced$110K
2026-08-20Former Owner of Telemedicine Companies Sentenced to Two Years in Prison for $110 Million Medicare Fraud SchemeMedicareSentenced$110M
2026-08-14Massachusetts Mayor Charged with Pandemic Loan Fraud and Money LaunderingPPP/EIDLCharged$1.5M
2026-08-11Former Department of Labor Employee Sentenced for Fraudulently Obtaining Over $40,000 in Pandemic Unemployment Assistance BenefitsUnemploymentSentenced$46K
2026-08-10Veloxis Pharmaceuticals Agrees to Pay Over $46M to Resolve Criminal and Civil Liability for Kickback SchemesMedicareMedicaidTRICARECivil settlement$46M
2026-08-10CFO of Boston-Area Spinal Device Company Sentenced to Four Months in Prison for Kickback SchemeMedicareMedicaidSentenced—
2026-07-31Massachusetts Ophthalmology Practice to Pay Nearly $4 Million to Resolve False Claims Act AllegationsMedicaidMedicareCivil settlement$3.9M
2026-07-20Former Veterans Affairs Employee Pleads Guilty to Fraudulently Obtaining Multiple Covid-19 BenefitsPPP/EIDLPleaded guilty—
2026-07-17Watertown Pharmaceutical Company to Pay Nearly $4.7 Million to Resolve False Claims Act AllegationsMedicaidMedicareTRICARECivil settlement$4.7M
2026-07-15Rockland Congruity LLC Agrees to Pay $2.6 Million to Resolve Allegations of PPP Loan FraudPPP/EIDLCivil settlement$2.7M
2026-07-15Labcorp Agrees to Pay $14.5M to Resolve False Claims Act AllegationsMedicareCivil settlement$14.5M
2026-07-15Labcorp Agrees to Pay $14.5 Million for Testing FraudMedicareCivil settlement$14.5M
2026-07-14Medical Device Company to Pay Over $550,000 to Resolve False Claims Act AllegationsMedicareCivil settlement$551K
2026-07-14Lynn Man Sentenced for Receiving Stolen Government Money and Making False StatementsSocial SecuritySentenced$67K

Source: U.S. Department of Justice press releases, classified by WHIP Reward. Each row is one press release; the same case can appear at several stages, so amounts should not be added. Charged cases are allegations. Search all 134 in the database.

Frequently asked questions

How do I report Medicaid fraud in Massachusetts?

Report provider fraud to the Medicaid Fraud Division (Office of the Attorney General), or to the HHS Office of Inspector General at 1-800-HHS-TIPS. To be eligible for a federal WHIP award, also submit the tip in writing at America.gov/fraud.

Does Massachusetts pay whistleblowers?

Yes. Under the Massachusetts False Claims Act (M.G.L. c. 12, §§ 5A–5O), a whistleblower who files a case receives 15–25% if the Attorney General proceeds (no more than 10% if the case is based primarily on public disclosures); 25–30% if the AG does not proceed (M.G.L. c. 12, § 5F). Federal programs (WHIP and the federal False Claims Act) apply as well.

How many fraud cases has the DOJ announced in Massachusetts?

134 announcements since January 20, 2025 in our database, counting each press release separately (a case can appear at charge, plea and sentencing). 34 of them announced a sentence.

Sources

  1. U.S. Department of Justice: Whistleblower Rewards Program
  2. mass.gov/attorney-generals-medicaid-fraud-division
  3. mass.gov/how-to/file-a-medicaid-fraud-complaint
  4. malegislature.gov/Laws/GeneralLaws/PartI/TitleII/Chapter12/Section5F
  5. malegislature.gov/Laws/GeneralLaws/PartI/TitleII/Chapter12/Section5O
  6. oig.hhs.gov/fraud/state-false-claims-act-reviews
  7. mass.gov/how-to/report-public-benefit-fraud-to-the-office-of-the-state-auditor
  8. mass.gov/info-details/report-unemployment-benefits-fraud
  9. U.S. Department of Justice press releases (justice.gov/news)