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West Virginia government benefits fraud cases

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

DOJ announcements
28
Since January 20, 2025
Sentencings
10
Pleaded guilty 9 · Charged 4
Largest amount named
$5.1M
settlement · 2025

Fraud by program in West Virginia

ProgramAnnouncementsMore
PPP/EIDL15West Virginia PPP/EIDL cases
Unemployment5All Unemployment cases
VA benefits3All VA benefits cases
Medicaid3All Medicaid cases
Student aid3All Student aid cases
Medicare2All Medicare cases
Social Security1All Social Security cases
Other federal program1

Where to report fraud in West Virginia

Type of fraudReport to
Medicaid provider fraudMedicaid Fraud Control Unit (MFCU) · Office of the West Virginia Attorney General · 304-558-1858
SNAP, child care assistance, cash assistanceOffice of Inspector General – Investigations and Fraud Management (report recipient welfare fraud; tipline 304-558-1970)
Unemployment benefitsWorkForce West Virginia – Report UI 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 West Virginia

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)

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

Still no state False Claims Act. 'Creating the False Claims Act' bills keep failing: HB 2214 (2025) and HB 4811 (2026), whose last action was referral to House Judiciary on 01/26/26.

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

Latest announcements

DateAnnouncementProgramStageAmount
2026-09-16One Woman Sentenced and Another Pleads Guilty in COVID-19 Fraud SchemesPPP/EIDLSentenced—
2026-09-15The Northern District of West Virginia joins DOJ Fraud Division, SBA, and SBA OIG in Surge Takedown Exceeding $245 Million in COVID-era Loan Fraud; Two Morgantown Business Owners Part of National Fraud TakedownPPP/EIDLCharged—
2026-09-14United States Attorney's Office for the Southern District of West Virginia Joins DOJ Fraud Division, SBA, and SBA OIG in Surge Takedown Exceeding $245 Million in COVID-era Loan FraudPPP/EIDLCharged—
2026-09-02Inmate Serving Life Sentence for Murder Pleads Guilty to Stealing $354,813.98 in Veterans BenefitsVA benefitsSentenced$355K
2026-07-08Boone County Woman Pleads Guilty to Theft of Government BenefitsSocial SecurityPleaded guilty$160K
2026-06-23Northern District of West Virginia Part of National Health Care Fraud Takedown Resulting in 455 Defendants Charged in Connection with Over $6.5 Billion in Alleged FraudMedicaidMedicareCharged—
2026-06-22Harrison County Woman Sentenced for Falsifying VA Medical Records to Steal Disability Benefits and Erase $242K in Student LoansStudent aidSentenced$355K
2026-06-17Mercer County Woman Pleads Guilty to $175,731.31 Fraud Scheme Targeting Federal Veterans Health Care BenefitsVA benefitsPleaded guilty$176K
2026-03-20Former Wheeling Business Owner Admits to COVID FraudPPP/EIDLPleaded guilty—
2026-03-05Laboratory Agrees to Pay More than $200,000 for Improper Billing to West Virginia Medicaid ProgramMedicaidCivil settlement$200K
2026-01-20New Jersey Woman Sentenced to Prison for COVID-19 Bank Fraud and Money Laundering SchemePPP/EIDLUnemploymentSentenced$184K
2026-01-09Huntington Woman Sentenced to Prison for COVID-19 Relief Fraud SchemePPP/EIDLSentenced$101K
2025-12-05Harrison County Woman Admits to Theft of Public MoneyStudent aidPleaded guilty—
2025-09-18Two Convicted of COVID Fraud in West VirginiaPPP/EIDLConvicted at trial—
2025-09-16Raleigh County Man Sentenced to Prison for COVID-19 Relief Fraud SchemePPP/EIDLSentenced$2.1M
2025-08-21Charleston Woman Sentenced for Role in COVID-19 Fraud ConspiracyPPP/EIDLSentenced$16K
2025-08-14Harrison County Woman Indicted on Theft and Fraud Charges Relating to Veterans Benefits and Federal Student LoansVA benefitsStudent aidCharged—
2025-08-12Putnam County Man Sentenced for Fraudulently Obtaining Unemployment and COVID-19 BenefitsUnemploymentSentenced$13K
2025-08-12Kanawha County Woman Sentenced for COVID-19 Relief Fraud SchemePPP/EIDLSentenced$22K
2025-07-16Federal Jury Convicts New Jersey Woman for Crimes Related to COVID-19 Fraud SchemePPP/EIDLUnemploymentConvicted at trial$3K
2025-07-16Charleston Woman Pleads Guilty to Aiding and Abetting Money Laundering in Relation to a COVID-19 Fraud SchemePPP/EIDLPleaded guilty$16K
2025-06-05Charleston Woman Pleads Guilty to Role in COVID-19 Fraud ConspiracyPPP/EIDLPleaded guilty$16K
2025-05-29Labor Organizations to Pay $5.1 Million to Settle False Claims Act Allegations Relating to Paycheck Protection Program LoansPPP/EIDLCivil settlement$5.1M
2025-05-07Hancock County Man Sentenced for Theft of Black Lung BenefitsOther federal programSentenced$86K
2025-04-30Kanawha County Woman Pleads Guilty to COVID-19 Relief Fraud SchemePPP/EIDLPleaded guilty$19K

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 28 in the database.

Frequently asked questions

How do I report Medicaid fraud in West Virginia?

Report provider fraud to the Medicaid Fraud Control Unit (MFCU) (Office of the West Virginia 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 West Virginia pay whistleblowers?

We did not find a general West Virginia 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 West Virginia?

28 announcements since January 20, 2025 in our database, counting each press release separately (a case can appear at charge, plea and sentencing). 10 of them announced a sentence.

Sources

  1. U.S. Department of Justice: Whistleblower Rewards Program
  2. bills.wvlegislature.gov/bill/history/2026/RS/HB4811
  3. wvlegislature.gov/Bill_Status/Bills_history.cfm
  4. ago.wv.gov/medicaid-fraud-control-unit-mfcu
  5. oig.wv.gov/IFM
  6. workforcewv.org/businesses/unemployment-tax-information/report-ui-fraud
  7. oig.hhs.gov/fraud/state-false-claims-act-reviews
  8. U.S. Department of Justice press releases (justice.gov/news)