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New York Medicaid fraud cases

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

All announcements

DateAnnouncementStageAmount
2026-10-02Social Adult Day Care Owner Pleads Guilty to $65M Medicaid FraudPleaded guilty$65M
2026-09-11Brooklyn Adult Daycare Owner Sentenced to Prison for Leadership Role in $64M Medicaid Fraud SchemeSentenced$56M
2026-09-09Brooklyn Adult Daycare Owner Sentenced to 76 Months in Prison for Leadership Role in $68 Million Medicaid Fraud SchemeSentenced$56M
2026-08-20Four Members of the "War Room" Charged in Connection with $12M Medicaid Fraud SchemeCharged$12M
2026-08-17Safire nursing homes agree to pay $9 million to resolve fraudulent Medicare and Medicaid billing allegationsCivil settlement$9M
2026-07-17New Jersey Man Sentenced to 48 Months in Prison for Role in Multi-State Prescription Fraud RingSentenced$4M
2026-07-02Two Defendants Charged with Multi-Million Dollar Health Care Fraud SchemeCharged—
2026-06-25New York City Woman Pleads Guilty for Role in Multi-State Prescription Fraud RingPleaded guilty$4M
2026-06-23Latham Taxi Operators and Employees Charged in $660,000 Medicaid Fraud and Kickback SchemeCharged$660K
2026-06-23First Assistant United States Attorney Sarcone Announces Ten Capital Region Actions: Five Arrests and Civil Settlements Involving Five PartiesCharged—
2026-06-23Clifton Park Telehealth Company to Pay $300,000 to Resolve Allegations of Improper Billing for No-Show Visits and Other ServicesCivil settlement$300K
2026-06-23Carl's Cab Operators Charged in $4.2 Million Medicaid Fraud and Kickback SchemeCharged$4.2M
2026-06-08New York City Man Charged with Theft of Government PropertyCharged—
2026-04-24Queens Pharmacy Owner Sentenced to 63 Months in Prison for Money Laundering SchemeSentenced$24.4M
2026-04-17New York Physician Pleads Guilty To Multimillion-Dollar Covid-19 Insurance Fraud SchemePleaded guilty$24M
2026-03-31Former Board Chairman and Executive Director of Healthcare Non-Profit Indicted for Embezzlement, Bribery, and Kickback SchemesCharged$1.3M
2026-02-12St. Margaret's Center Pays $1.3 Million Under the False Claims ActCivil settlement$1.3M
2026-01-27Syracuse area man pleads guilty to operating kickback scheme involving Medicare And MedicaidPleaded guilty—
2026-01-15Two Individuals Plead Guilty to $68M Adult Day Care Fraud SchemePleaded guilty$68M
2025-12-02U.S. Attorney Announces $37.76 Million Settlement With CVS For Over-Dispensing Insulin Pens To PatientsCivil settlement$37.8M
2025-09-17President Of Queens-Based Construction Company Sentenced For Fraud In Connection With Homeless Shelter Contracts Worth $12 MillionSentenced—
2025-08-19Lackawanna man sentenced for defrauding MedicaidSentenced$95K
2025-08-15Three Indicted in Multi-State Prescription Fraud RingCharged—
2025-08-06Leader of $68M Adult Day Care Fraud Scheme Pleads GuiltyPleaded guilty$68M
2025-07-01Centers Healthcare Pays Over $6 Million for False Statements on Medicare Cost ReportsCivil settlement$6M
2025-06-11Owner of Long Island Ambulette Services Pleads Guilty to Leading Multimillion Dollar Healthcare Fraud SchemePleaded guilty$20M
2025-04-29U.S. Attorney Announces $202 Million Settlement With Gilead Sciences For Using Speaker Programs To Pay Kickbacks To Doctors To Induce Them To Prescribe Gilead's DrugsCivil settlement$202M
2025-04-29Statement Of U.S. Attorney Jay Clayton On The Verdict In U.S. V. Omnicare And CVS Health CorporationOther—
2025-02-24Webster woman charged with defrauding MedicaidCharged$40K
2025-02-20Lackawanna man pleads guilty to defrauding MedicaidPleaded guilty$95K

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 New York

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 New York, and Medicaid cases in every state.

Frequently asked questions

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

30 announcements since January 20, 2025, or 9.9% 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 New York?

Medicaid Fraud Control Unit ((212) 417-5300); 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)