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New York government benefits fraud cases

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

DOJ announcements
109
Since January 20, 2025
Sentencings
27
Civil settlement 29 · Pleaded guilty 24
Largest amount named
$202M
settlement · 2025

Fraud by program in New York

ProgramAnnouncementsMore
Medicaid30New York Medicaid cases
PPP/EIDL25New York PPP/EIDL cases
Medicare23New York Medicare cases
Unemployment14New York Unemployment cases
Social Security10New York Social Security cases
Other federal program9
TRICARE4All TRICARE cases
SNAP4All SNAP cases
Student aid2All Student aid cases
Housing1All Housing cases
VA benefits1All VA benefits cases

Where to report fraud in New York

Type of fraudReport to
Medicaid provider fraudMedicaid Fraud Control Unit · New York State Office of the Attorney General · (212) 417-5300
SNAP, child care assistance, cash assistanceNYS OTDA – Reporting Welfare Fraud (cash assistance, SNAP, HEAP)
Unemployment benefitsNYS Department of Labor – Report 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 New York

ProgramWhat it paysLaw
New York False Claims Act
Covers All state and local government funds, including tax claims (tax claims only where defendant's net income or sales ≥ $1 million in a taxable year and damages pleaded > $350,000, § 189(4))
15–25% if the state/local government intervenes or converts the action (max 10% if based primarily on public disclosures); 25–30% if notN.Y. State Finance Law §§ 187–194 (relator share at § 190(6))
Tax qui tam under the New York False Claims ActWhistleblowers may bring qui tam suits over state/local tax fraud and share in recoveries on the same 15–25% / 25–30% scale, but only if the defendant's net income or sales are at least $1 million for a taxable year at issue and damages pleaded exceed $350,000N.Y. State Finance Law § 189(4)
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)

One of the few state FCAs that expressly covers tax fraud (with income/damages thresholds); also covers local-government funds. HHS-OIG approved the act 1/25/2019. MFCU phone is the number the AG lists for the MFCU (NYC office); the AG also publicizes its general line 1-800-771-7755.

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

Latest announcements

DateAnnouncementProgramStageAmount
2026-10-02Social Adult Day Care Owner Pleads Guilty to $65M Medicaid FraudMedicaidPleaded guilty$65M
2026-10-02Rensselaer Woman Indicted in $668,884 Social Security and NYS Pension Fraud SchemeSocial SecurityCharged$530K
2026-09-24Dunkirk woman sentenced for theft of government funds involving COVID-19 fraudUnemploymentSentenced—
2026-09-15WDNY joins DOJ Fraud Division, SBA, and SBA OIG in surge takedown exceeding $245 million in covid-era loan fraudPPP/EIDLCharged—
2026-09-11Former Postal Worker Convicted of Stealing Nearly $1 Million in Tax-Free Federal Disability BenefitsOther federal programConvicted at trial$1M
2026-09-11Brooklyn Adult Daycare Owner Sentenced to Prison for Leadership Role in $64M Medicaid Fraud SchemeMedicaidSentenced$56M
2026-09-09Brooklyn Adult Daycare Owner Sentenced to 76 Months in Prison for Leadership Role in $68 Million Medicaid Fraud SchemeMedicaidSentenced$56M
2026-09-03Buffalo man going to prison for defrauding SSA out of tens of thousands of dollarsSocial SecuritySentenced—
2026-08-25U.S. Attorney Files Civil Fraud Suit Against Network Of Companies For Fraudulently Obtaining COVID Relief MoneyPPP/EIDLOther$13M
2026-08-20Four Members of the "War Room" Charged in Connection with $12M Medicaid Fraud SchemeMedicaidCharged$12M
2026-08-18Vestal Company and Owner to Pay $130,000 to Resolve False Claims Act AllegationsPPP/EIDLCivil settlement$130K
2026-08-17Safire nursing homes agree to pay $9 million to resolve fraudulent Medicare and Medicaid billing allegationsMedicaidMedicareCivil settlement$9M
2026-08-13Adult entertainment clubs agree to pay $354,176 to resolve allegations related to pandemic loan eligibilityPPP/EIDLCivil settlement$354K
2026-07-31Florida Woman Sentenced To Two Years In Prison For Orchestrating Multimillion-Dollar Federal Student Aid Loan Forgiveness Fraud SchemeStudent aidSentenced—
2026-07-17New Jersey Man Sentenced to 48 Months in Prison for Role in Multi-State Prescription Fraud RingMedicaidSentenced$4M
2026-07-10Genesee Valley Club agrees to pay $1.05 million to resolve False Claims Act allegationsPPP/EIDLCivil settlement$1.1M
2026-07-10Canadian-owned companies agree to pay $223,618 to resolve fraud allegations related to receipt of a Small Business Innovation Research program awardOther federal programCivil settlement$224K
2026-07-02Two Defendants Charged with Multi-Million Dollar Health Care Fraud SchemeMedicaidCharged—
2026-06-25U.S. Attorney Announces $2.2 Million Settlement With Urologists For Submitting False Claims To MedicareMedicareCivil settlement$2.2M
2026-06-25New York City Woman Pleads Guilty for Role in Multi-State Prescription Fraud RingMedicaidPleaded guilty$4M
2026-06-23Warren County Physician and Nurse Practitioner Pay $500,000 to Resolve Unlawful Opioid Prescribing and Fraudulent Conveyance Actions; Barred from DEA Registration for 20 YearsTRICARECivil settlement$500K
2026-06-23Latham Taxi Operators and Employees Charged in $660,000 Medicaid Fraud and Kickback SchemeMedicaidCharged$660K
2026-06-23First Assistant United States Attorney Sarcone Announces Ten Capital Region Actions: Five Arrests and Civil Settlements Involving Five PartiesMedicaidCharged—
2026-06-23Clifton Park Telehealth Company to Pay $300,000 to Resolve Allegations of Improper Billing for No-Show Visits and Other ServicesMedicaidMedicareCivil settlement$300K
2026-06-23Carl's Cab Operators Charged in $4.2 Million Medicaid Fraud and Kickback SchemeMedicaidCharged$4.2M

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 109 in the database.

Frequently asked questions

How do I report Medicaid fraud in New York?

Report provider fraud to the Medicaid Fraud Control Unit (New York State 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 New York pay whistleblowers?

Yes. Under the New York False Claims Act (N.Y. State Finance Law §§ 187–194 (relator share at § 190(6))), a whistleblower who files a case receives 15–25% if the state/local government intervenes or converts the action (max 10% if based primarily on public disclosures); 25–30% if not. New York also has: Tax qui tam under the New York False Claims Act (Whistleblowers may bring qui tam suits over state/local tax fraud and share in recoveries on the same 15–25% / 25–30% scale, but only if the defendant's net income or sales are at least $1 million for a taxable year at issue and damages pleaded exceed $350,000). Federal programs (WHIP and the federal False Claims Act) apply as well.

How many fraud cases has the DOJ announced in New York?

109 announcements since January 20, 2025 in our database, counting each press release separately (a case can appear at charge, plea and sentencing). 27 of them announced a sentence.

Sources

  1. U.S. Department of Justice: Whistleblower Rewards Program
  2. oig.hhs.gov/fraud/state-false-claims-act-reviews
  3. nysenate.gov/legislation/laws/STF/190
  4. nysenate.gov/legislation/laws/STF/189
  5. ag.ny.gov/medicaid-fraud-complaint
  6. ag.ny.gov/complaints-other-agencies
  7. ag.ny.gov/about/about-office/criminal-justice-division
  8. dol.ny.gov/report-fraud
  9. U.S. Department of Justice press releases (justice.gov/news)