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Pennsylvania government benefits fraud cases

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

DOJ announcements
77
Since January 20, 2025
Sentencings
34
Charged 19 · Pleaded guilty 12
Largest amount named
$117.7M
settlement · 2026

Fraud by program in Pennsylvania

Where to report fraud in Pennsylvania

Type of fraudReport to
Medicaid provider fraudMedicaid Fraud Control Section (MFCS) · Pennsylvania Office of Attorney General · 717-712-1220
SNAP, child care assistance, cash assistancePA DHS – Report Public Assistance Fraud or Abuse (1-844-DHS-TIPS; OSIG tip line 1-800-932-0582)
Unemployment benefitsPA Department of Labor & Industry – File a Fraud Report (unemployment fraud; 1-800-692-7469)
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 Pennsylvania

ProgramWhat it paysLaw
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)

Pennsylvania law does not pay whistleblowers a share of state recoveries, so the federal programs are the main route to a reward.

No state false claims act / qui tam law. HB 1697 (2025–26, Rep. Frank Burns) would add false-claims liability with qui tam to the Human Services Code and create a Fraud Prevention and Recovery Account. It passed the House 136-67 on July 9, 2025, and has sat in Senate Health & Human Services since July 23, 2025. Not enacted.

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

Latest announcements

DateAnnouncementProgramStageAmount
2026-10-02North Braddock Man Charged with Carrying Out Six-Year Social Security FraudSocial SecurityCharged—
2026-09-29Two Defendants Plead Guilty To Conspiring To Obtain Over $80 Million In Government Contracts Through FraudVA benefitsPleaded guilty$80M
2026-09-29Delaware Pastor Sentenced to 18 Months in Prison for Committing Over $500,000 in Pandemic Relief Fraud and Tax FraudPPP/EIDLSentenced$606K
2026-09-24York Tax Preparer Sentenced to 18 Months In Prison In Bank Fraud Scheme For Submission Of Fraudulent PPP Loan ApplicationsPPP/EIDLSentenced$341K
2026-09-24Dauphin County Man Sentenced to 10 Years in Prison for Pandemic Unemployment Assistance SchemeUnemploymentSentenced$3.2M
2026-09-14U.S. Attorney's Office for Western District of Pennsylvania Joins DOJ Fraud Division, SBA, and SBA OIG in Surge Takedown Exceeding $245 Million in COVID-era Loan FraudPPP/EIDLCharged—
2026-09-11New Jersey Woman Who Defrauded Pandemic Relief Program of More Than Half a Million Dollars Sentenced to a Year and a Day in PrisonPPP/EIDLSentenced$535K
2026-09-10California Man Sentenced to 72 Months in Prison for Fraudulently Obtaining $46 Million In Public Benefits and Laundering Proceeds to ChinaUnemploymentSentenced—
2026-08-18ID Logistics US, Inc. Agrees To Pay $2.36 Million to Resolve False Claims Act Allegations Relating to a Paycheck Protection Program LoanPPP/EIDLCivil settlement$2.4M
2026-08-11Indiana County Man Indicted for Theft of Social Security BenefitsSocial SecurityCharged—
2026-08-10Pittsburgh Woman Sentenced for Theft of Supplemental Security Income FundsSocial SecuritySentenced$18K
2026-07-31Washington County Woman Charged with Theft of Social Security BenefitsSocial SecurityCharged—
2026-07-21Two Men Charged with $52 million COVID-19 Tax Credit Fraud ConspiracyOther federal programCharged$52.7M
2026-07-01For-Profit College Chain Agrees to Pay More Than $1 Million to Resolve Allegations of Inflated Graduation StatisticsStudent aidCivil settlement$1M
2026-06-25DuBois Resident Indicted on Social Security Fraud ChargesSocial SecurityCharged$1K
2026-06-23Scranton Woman Charged With Conspiracy To Commit Bank Fraud With Funds Derived From Federal Health Care ProgramsMedicaidMedicareCharged$300K
2026-06-22Kittanning Resident Sentenced for Theft of Disabled Child's Social Security BenefitsSocial SecuritySentenced$17K
2026-06-10Ahold Delhaize USA Inc. to Pay $40M for Allegedly Reporting Inflated Drug Prices on Claims to Federal Healthcare ProgramsMedicaidMedicareCivil settlement$40M
2026-05-14California Man Sentenced to 120 Months In Prison For Fraudulently Obtaining $46 Million In Public Benefits And Laundering Proceeds To ChinaUnemploymentSentenced—
2026-05-01California Man Sentenced to 144 Months In Prison For Fraudulently Obtaining $59 Million In Public Benefits And Laundering Proceeds To ChinaUnemploymentSentenced—
2026-04-30PA Lifesharing, LCC Agrees To Pay $1.2M To Settle False Claims Act AllegationsMedicaidCivil settlement$1.2M
2026-04-17Pennsylvania And Michigan Men Charged With Benefits Fraud ConspiracySNAPCharged—
2026-04-13Tobyhanna Man Sentenced To 30 Months In Prison For His Misappropriation Of Covid Relief Funds And With Making A False Tax Return In Support Of Wire FraudPPP/EIDLSentenced$352K
2026-04-03Florida Man Pleads Guilty In Health Care Fraud And Kickback Scheme Involving "Foot Baths"MedicarePleaded guilty—
2026-03-18Consent Judgment Entered Against Bucks County Company Resolving Allegations of False Claims for Billing Group Art Classes in Assisted Living and Adult Day Facilities as Occupational TherapyMedicareCivil settlement$200K

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 77 in the database.

Frequently asked questions

How do I report Medicaid fraud in Pennsylvania?

Report provider fraud to the Medicaid Fraud Control Section (MFCS) (Pennsylvania Office of 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 Pennsylvania pay whistleblowers?

We did not find a general Pennsylvania whistleblower reward law. Federal programs apply: WHIP pays $10,000–$30,000 per tip that leads to criminal charges, and the federal False Claims Act pays 15–30% of recoveries.

How many fraud cases has the DOJ announced in Pennsylvania?

77 announcements since January 20, 2025 in our database, counting each press release separately (a case can appear at charge, plea and sentencing). 34 of them announced a sentence.

Sources

  1. U.S. Department of Justice: Whistleblower Rewards Program
  2. palegis.us/legislation/bills/2025/hb1697
  3. oig.hhs.gov/fraud/state-false-claims-act-reviews
  4. attorneygeneral.gov/for-the-public/medicaid-fraud
  5. pa.gov/services/dhs/report-public-assistance-fraud-or-abuse
  6. pa.gov/agencies/dli/file-a-report
  7. U.S. Department of Justice press releases (justice.gov/news)