Fraud by program in Utah
| Program | Announcements | More |
|---|---|---|
| PPP/EIDL | 4 | All PPP/EIDL cases |
| Other federal program | 1 | |
| Medicaid | 1 | All Medicaid cases |
| Medicare | 1 | All Medicare cases |
| Social Security | 1 | All Social Security cases |
| Unemployment | 1 | All Unemployment cases |
| VA benefits | 1 | All VA benefits cases |
Where to report fraud in Utah
| Type of fraud | Report to |
|---|---|
| Medicaid provider fraud | Medicaid Fraud and Patient Abuse Division (Utah MFCU) · Utah Office of the Attorney General · (801) 281-1259 |
| SNAP, child care assistance, cash assistance | Utah Department of Workforce Services – Report Fraud, Waste and Abuse (assistance fraud line 800-955-2210, wsinv@utah.gov) |
| Unemployment benefits | Utah DWS – Report Unemployment Insurance Fraud |
| 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 Utah
| Program | What it pays | Law |
|---|---|---|
| Utah False Claims Act Covers Medicaid / health care only (medical benefits paid under state-administered programs) | No whistleblower share. The act has no qui tam provision; only the Department of Health and Human Services and the Attorney General can enforce it (§ 26B-3-1113) | Utah Code §§ 26B-3-1101 to 26B-3-1115 (formerly Title 26, ch. 20) |
| 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) |
Utah law does not pay whistleblowers a share of state recoveries, so the federal programs are the main route to a reward.
Utah's 'False Claims Act' is a state-enforced Medicaid fraud statute with criminal and civil penalties, but no whistleblower suit and no reward share. Utah does not appear on HHS-OIG's list of state false claims act reviews, approved or not approved, so it gets no DRA §6031 incentive. drAQualified=false is inferred from that absence. The current code version of the part is dated 5/3/2023, after the 2023 recodification from Title 26 to Title 26B. Utah residents with Medicaid fraud tips would have to use the federal FCA for any reward.
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 9 in the database.
Frequently asked questions
How do I report Medicaid fraud in Utah?
Report provider fraud to the Medicaid Fraud and Patient Abuse Division (Utah MFCU) (Utah 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 Utah pay whistleblowers?
We did not find a general Utah 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 Utah?
9 announcements since January 20, 2025 in our database, counting each press release separately (a case can appear at charge, plea and sentencing). 5 of them announced a sentence.
Sources
- U.S. Department of Justice: Whistleblower Rewards Program
- oig.hhs.gov/fraud/state-false-claims-act-reviews
- oig.hhs.gov/fraud/medicaid-fraud-control-units-mfcu/files/contact-directors.pdf
- le.utah.gov/xcode/Title26B/Chapter3/C26B-3-P11_2023050320230503.pdf
- le.utah.gov/xcode/Title26B/Chapter3/26B-3-P11.html
- attorneygeneral.utah.gov/medicaid-fraud
- jobs.utah.gov/department/contact/fraud.html
- jobs.utah.gov/ui/fraud/uifraud.html
- U.S. Department of Justice press releases (justice.gov/news)