Fraud by program in New Jersey
| Program | Announcements | More |
|---|---|---|
| PPP/EIDL | 23 | New Jersey PPP/EIDL cases |
| Medicare | 17 | New Jersey Medicare cases |
| Medicaid | 7 | All Medicaid cases |
| Social Security | 5 | All Social Security cases |
| Unemployment | 5 | All Unemployment cases |
| Other federal program | 5 | |
| TRICARE | 4 | All TRICARE cases |
| SNAP | 1 | All SNAP cases |
Where to report fraud in New Jersey
| Type of fraud | Report to |
|---|---|
| Medicaid provider fraud | Medicaid Fraud Control Unit (MFCU) · NJ Office of the Attorney General, Office of the Insurance Fraud Prosecutor (Division of Criminal Justice) · 609-292-1272 |
| SNAP, child care assistance, cash assistance | NJ DHS Division of Family Development: Report Suspected Fraud (SNAP, WorkFirst NJ) |
| Unemployment benefits | NJ Department of Labor & Workforce Development: Report Unemployment Fraud (609-376-5945, option 4) |
| Medicare and other HHS programs | HHS-OIG · 1-800-HHS-TIPS |
| Any WHIP-covered federal program, if you want a reward | America.gov/fraud (how to submit) |
Whistleblower rewards in New Jersey
| Program | What it pays | Law |
|---|---|---|
| New Jersey False Claims Act Covers all state funds | 15–25% if the Attorney General proceeds; 25–30% if not. If the AG's case rests primarily on publicly disclosed information, the court awards 'such sums as it considers appropriate' (no percentage set). The AG separately takes a fixed 10% for the False Claims Prosecution Fund. | N.J.S.A. 2A:32C-1 to 2A:32C-18; relator share at N.J.S.A. 2A:32C-7 |
| Insurance Fraud Detection Reward Program (Office of the Insurance Fraud Prosecutor) | OIFP may pay a reward when a tip leads to the arrest, prosecution and conviction of a person or entity for health care claims fraud, insurance fraud, or another crime involving an insurance transaction. The reward is capped at the lesser of 5% of the value of the fraud or $25,000. The tip must start a new investigation, the notarized application must be filed within 30 days of the first report, and payment comes only after all direct appeals of the conviction are exhausted. Participants in the offense, government employees acting in their official duties, and insurer employees are ineligible. | N.J.A.C. 13:88-3 (authority N.J.S.A. 2C:21-4.7) |
| Federal WHIP | $10,000–$30,000 per tip that leads to criminal charges | DOJ terms |
| Federal False Claims Act | 15–25% of the recovery if the government intervenes; 25–30% if not | 31 U.S.C. § 3730(d) |
P.L.2023, c.73 (approved 6/30/2023) amended the NJFCA to align with the federal FCA. The share percentages in 2A:32C-7 did not change; subsection c was clarified so the AG's fixed 10% comes out of the State's share. OIG approved the act (9/7/23). The output URL is the 2023 pamphlet law containing the current text of 2A:32C-7; the NJ Legislature has no stable per-section statute URL. The OIFP reward rules PDF is a scanned 2004 adoption notice (rules effective 7/6/2004).
Estimate federal awards for your case with the calculator, or compare programs in WHIP vs the False Claims Act.
Latest announcements
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 57 in the database.
Frequently asked questions
How do I report Medicaid fraud in New Jersey?
Report provider fraud to the Medicaid Fraud Control Unit (MFCU) (NJ Office of the Attorney General, Office of the Insurance Fraud Prosecutor (Division of Criminal Justice)), 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 New Jersey pay whistleblowers?
Yes. Under the New Jersey False Claims Act (N.J.S.A. 2A:32C-1 to 2A:32C-18; relator share at N.J.S.A. 2A:32C-7), a whistleblower who files a case receives 15–25% if the Attorney General proceeds; 25–30% if not. If the AG's case rests primarily on publicly disclosed information, the court awards 'such sums as it considers appropriate' (no percentage set). The AG separately takes a fixed 10% for the False Claims Prosecution Fund.. New Jersey also has: Insurance Fraud Detection Reward Program (Office of the Insurance Fraud Prosecutor) (OIFP may pay a reward when a tip leads to the arrest, prosecution and conviction of a person or entity for health care claims fraud, insurance fraud, or another crime involving an insurance transaction. The reward is capped at the lesser of 5% of the value of the fraud or $25,000. The tip must start a new investigation, the notarized application must be filed within 30 days of the first report, and payment comes only after all direct appeals of the conviction are exhausted. Participants in the offense, government employees acting in their official duties, and insurer employees are ineligible.). Federal programs (WHIP and the federal False Claims Act) apply as well.
How many fraud cases has the DOJ announced in New Jersey?
57 announcements since January 20, 2025 in our database, counting each press release separately (a case can appear at charge, plea and sentencing). 20 of them announced a sentence.
Sources
- U.S. Department of Justice: Whistleblower Rewards Program
- njoag.gov/about/divisions-and-offices/office-of-the-insurance-fraud-prosecutor-home/medicaid-fraud-control-unit
- njoag.gov/about/divisions-and-offices/office-of-the-insurance-fraud-prosecutor-home/contact-oifp
- njoag.gov/about/divisions-and-offices/office-of-the-insurance-fraud-prosecutor-home/library
- nj.gov/oag/insurancefraud/pdfs/reward_program_rulesfinal.pdf
- pub.njleg.gov/bills/2022/PL23/73_.HTM
- pub.njleg.gov/bills/2006/PL07/265_.HTM
- oig.hhs.gov/fraud/state-false-claims-act-reviews
- oig.hhs.gov/fraud/medicaid-fraud-control-units-mfcu/files/contact-directors.pdf
- naag.org/about-naag/namfcu/about-the-medicaid-fraud-control-units
- nj.gov/humanservices/dfd/resources/fraud/report.shtml
- nj.gov/labor/myunemployment/help/contact-us/reportfraud
- U.S. Department of Justice press releases (justice.gov/news)