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North Carolina government benefits fraud cases

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

DOJ announcements
46
Since January 20, 2025
Sentencings
18
Pleaded guilty 11 · Civil settlement 8
Largest amount named
$23.9M
billed · 2026

Fraud by program in North Carolina

ProgramAnnouncementsMore
PPP/EIDL22North Carolina PPP/EIDL cases
Medicaid11North Carolina Medicaid cases
Unemployment4All Unemployment cases
SNAP4All SNAP cases
Medicare4All Medicare cases
Other federal program2
TRICARE1All TRICARE cases
Disaster1All Disaster cases
Social Security1All Social Security cases

Where to report fraud in North Carolina

Type of fraudReport to
Medicaid provider fraudMedicaid Investigations Division · North Carolina Department of Justice (Attorney General) · (919) 881-2320
SNAP, child care assistance, cash assistanceNCDHHS – Report Fraud, Waste, Abuse or Financial Mismanagement (FNS/food stamps and Work First fraud line 1-866-719-0141)
Unemployment benefitsNC Division of Employment Security – Unemployment Insurance 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 North Carolina

ProgramWhat it paysLaw
North Carolina False Claims Act
Covers All state funds (claims paid or reimbursed by the State); tax claims under Chapter 105 excluded (§ 1-607(c))
15–25% if the State proceeds (max 10% if based primarily on public disclosures); 25–30% if notN.C. Gen. Stat. §§ 1-605 to 1-618 (relator share at § 1-610)
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)

HHS-OIG approved the act 10/26/2018. Medicaid recipient fraud goes to NC Division of Health Benefits (1-800-662-7030) or county DSS, not the AG's MID.

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

Latest announcements

DateAnnouncementProgramStageAmount
2026-10-15Charlotte Man Pleads Guilty to Health Care Fraud for Stealing Hundreds of Thousands from the North Carolina Medicaid ProgramMedicaidPleaded guilty—
2026-10-13Sixth North Carolina Return Preparer Sentenced in $23.9 Pandemic-Relief Fraud SchemeOther federal programSentenced$23.9M
2026-08-05Nigerian Citizen and Three Other Individuals Sentenced in Connection with a $1.7 Million Money Laundering OperationPPP/EIDLUnemploymentSentenced$1.7M
2026-08-03Raleigh Business Owner Sentenced to Prison for Bankruptcy FraudPPP/EIDLSentenced$425K
2026-08-03Fayetteville Resident Charged in Nearly $1 Million Pandemic Relief ScamPPP/EIDLCharged$1M
2026-07-09Guilford County Woman Pleads Guilty to Health Care Fraud in Connection with Million Dollar Urine Drug Testing SchemeMedicaidPleaded guilty—
2026-06-29Robeson County Man Who Stole Over $170,000 in Fraudulent Covid Loans Plead GuiltyPPP/EIDLPleaded guilty$170K
2026-06-25A Lenoir County Social Services Employee Sentenced to Federal Prison for Stealing Over $100k from SNAP BenefitsSNAPSentenced$100K
2026-06-24Felon Indicted in Multimillion Dollar Healthcare Kickback and False Documents ConspiracyMedicareTRICARECharged—
2026-06-23Charlotte Man Charged with Defrauding the North Carolina Medicaid Program Out of Hundreds of Thousands of Dollars; Announcement Made as Part of Justice Department's National Health Care Fraud TakedownMedicaidCharged—
2026-05-08Vsoft Corporation Agrees to Pay Nearly $2.3 Million to Resolve Allegations It Improperly Obtained A PPP LoanPPP/EIDLCivil settlement$2.3M
2026-04-27Federal Judge Sentences Johnston County Social Services Employee for Stealing Over $100,000 from SNAPSNAPSentenced$102K
2026-04-27Charlotte Company Agrees to Pay Nearly $1.2 Million to Resolve Allegations It Improperly Obtained a PPP LoanPPP/EIDLCivil settlement$1.2M
2026-04-10Participant in $542,000 Family Covid Fraud Ring Sentenced to PrisonPPP/EIDLSentenced$542K
2026-04-08Federal Indictment Charges Man With Defrauding Federal Emergency Management Agency In The Aftermath Of Tropical Storm HeleneDisasterCharged$21K
2026-03-26A Lenior County Social Services Employee Stole Over $100,000 from SNAP Benefits Program, Pleads GuiltySNAPPleaded guilty$102K
2026-03-12Former Robeson County Sheriff's Deputy and Family Plead Guilty to Stealing Over $542,000 in Fraudulent Covid LoansPPP/EIDLPleaded guilty$542K
2026-03-05Over $12 Million Medicaid Fraud Scheme Leads to 14 Years of Prison for Substance Abuse Facility, Owner, Compliance Officer, and Office ManagerMedicaidOther$12.7M
2026-02-11Fake Music Producer Sentenced to Prison for Stealing PPP Loans in Nationwide SchemePPP/EIDLSentenced$150K
2026-01-29Yadkinville Woman Sentenced in Connection with Multi-Million Dollar Medicaid Fraud SchemeMedicaidSentenced$2.5M
2026-01-14KINSTON WOMAN SENTENCED TO 6 YEARS IN FEDERAL PRISON AND ORDERED TO REPAY OVER $15 MILLION IN RESTITUTION FOR HEALTHCARE FRAUDMedicaidSentenced$15M
2025-12-19Fraudster Who Submitted Over $365,000 in Fake COVID Unemployment Benefits Applications Pleads GuiltyUnemploymentPleaded guilty$365K
2025-12-04U.S. Attorney's Office Hosts Annual Meeting Of The Western District's Health Care Fraud Working GroupMedicaidOther—
2025-12-04Ringleaders of National COVID-19 Fraud Scheme Sentenced to 204 Months in Federal PrisonPPP/EIDLSentenced$10M
2025-12-02Largest North Carolina Behavioral Health Practice Agrees to Pay $1.9 Million to Resolve Allegedly False Medicare ClaimsMedicareCivil settlement$1.9M

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 46 in the database.

Frequently asked questions

How do I report Medicaid fraud in North Carolina?

Report provider fraud to the Medicaid Investigations Division (North Carolina Department of Justice (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 North Carolina pay whistleblowers?

Yes. Under the North Carolina False Claims Act (N.C. Gen. Stat. §§ 1-605 to 1-618 (relator share at § 1-610)), a whistleblower who files a case receives 15–25% if the State proceeds (max 10% if based primarily on public disclosures); 25–30% if not. Federal programs (WHIP and the federal False Claims Act) apply as well.

How many fraud cases has the DOJ announced in North Carolina?

46 announcements since January 20, 2025 in our database, counting each press release separately (a case can appear at charge, plea and sentencing). 18 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. ncleg.gov/EnactedLegislation/Statutes/HTML/BySection/Chapter_1/GS_1-610.html
  4. ncleg.gov/EnactedLegislation/Statutes/HTML/ByArticle/Chapter_1/Article_51.html
  5. ncdoj.gov/fighting-crime/health-fraud
  6. ncdhhs.gov/about/administrative-offices/internal-audit/report-fraud-waste-abuse-or-financial-mismanagement
  7. des.nc.gov/need-help/unemployment-insurance-fraud
  8. U.S. Department of Justice press releases (justice.gov/news)