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Massachusetts Medicaid fraud cases

Every Justice Department announcement of Medicaid fraud prosecuted in Massachusetts since January 20, 2025.

All announcements

DateAnnouncementStageAmount
2026-10-01Worcester Man Indicted for Snap FraudCharged—
2026-09-08Illegal Alien Sentenced for Passport and Benefit FraudSentenced$305K
2026-09-08Illegal Alien Pleads Guilty to Healthcare Benefit Fraud and Aggravated Identity TheftPleaded guilty$80K
2026-08-10Veloxis Pharmaceuticals Agrees to Pay Over $46M to Resolve Criminal and Civil Liability for Kickback SchemesCivil settlement$46M
2026-08-10CFO of Boston-Area Spinal Device Company Sentenced to Four Months in Prison for Kickback SchemeSentenced—
2026-07-31Massachusetts Ophthalmology Practice to Pay Nearly $4 Million to Resolve False Claims Act AllegationsCivil settlement$3.9M
2026-07-17Watertown Pharmaceutical Company to Pay Nearly $4.7 Million to Resolve False Claims Act AllegationsCivil settlement$4.7M
2026-06-23Massachusetts Man Charged in $5 Million Medicare Fraud Scheme as Part of National Health Care Fraud TakedownCharged—
2026-06-18U.S. Attorney's Office Announces 15 Arrests for Benefit FraudCharged$546K
2026-06-18Justice Department Charges 11 Illegal Aliens Among 15 in $1.4M Benefit Fraud Crackdown in MassachusettsCharged$1.4M
2026-05-22Illegal Alien Pleads Guilty to Benefit Fraud and Identity Theft OffensesPleaded guilty$13K
2026-05-18Behavioral Health Companies and Physician-Owner Agree to Pay $1.4 Million for Allegedly Billing for Psychotherapy Services that Clinicians Did Not PerformCivil settlement$1.4M
2026-05-06Illegal Alien Previously Convicted of Drug Trafficking Charged with Healthcare Benefit Fraud And Aggravated Identity TheftCharged$80K
2026-04-20Illegal Alien Previously Convicted of Drug Offenses Charged with Healthcare Benefit Fraud and Aggravated Identity TheftCharged—
2026-03-26Nine Charged in Benefit Fraud CrackdownCharged$9M
2026-03-06Illinois Man Sentenced to Two Years in Prison for Durable Medical Equipment SchemeSentenced$2M
2026-03-06AmerisourceBergen Subsidiary Agrees to Pay $1 Million for Allegedly Paying Kickbacks to Health Care Providers and Medical Practice ExecutivesPleaded guilty—
2026-03-05Former ExThera Medical Corporation Executive Admits to Concealing Patient Deaths from FDA and Company Enters Deferred Prosecution AgreementPleaded guilty—
2025-12-15Medical Software Company Agrees to Pay $500,000 to Resolve Allegations of Causing Medically Unnecessary Breast Cancer Screening ClaimsCivil settlement$529K
2025-08-07Illinois Man Charged in Durable Medical Equipment SchemeCharged$2M
2025-05-19CEO of Spine Device Company Pleads Guilty to False Statements in Connection with Mandatory Reporting to CMSPleaded guilty—
2025-03-27Walgreen Co. Agrees to Pay Over $2.8 Million to Settle Allegations of Overbilling Medicaid ProgramsCivil settlement$2.8M
2025-02-25United States Sues Skilled Nursing Company, Executives and Consultant for Fraudulent BillingOther—
2025-01-23Operator of Home Health Care Company Sentenced to 12 Years in Prison for Multimillion Dollar Health Care Fraud SchemeSentenced—

Source: U.S. Department of Justice press releases. Amounts should not be added: one case can appear at several stages. Charged cases are allegations.

Where to report Medicaid fraud in Massachusetts

Medicaid fraud is covered by the federal WHIP program: a tip that leads to criminal charges can earn $10,000–$30,000. More on reporting Medicaid fraud, all fraud cases and reward laws in Massachusetts, and Medicaid cases in every state.

Frequently asked questions

How many Medicaid fraud cases has the DOJ announced in Massachusetts?

24 announcements since January 20, 2025, or 7.9% of all Medicaid announcements in our database. Each press release is counted separately, so one case can appear at charge, plea and sentencing.

How do I report Medicaid fraud in Massachusetts?

Medicaid Fraud Division ((617) 963-2360 (Medicaid Fraud Tip line)); HHS Office of Inspector General (1-800-HHS-TIPS (1-800-447-8477)); America.gov/fraud (WHIP reward portal). To be eligible for a federal WHIP award, submit the tip in writing at America.gov/fraud.

Sources

  1. U.S. Department of Justice press releases (justice.gov/news)
  2. HHS-OIG: Report fraud
  3. HHS-OIG: Medicaid Fraud Control Units
  4. DOJ: National Fraud Enforcement Division Criminal Tip Rewards Pilot Program, terms and conditions (updated Oct. 20, 2026)