Independent guide and data. Not a government website. Reporting fraud to the government is always free.

Wisconsin government benefits fraud cases

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

DOJ announcements
21
Since January 20, 2025
Sentencings
10
Civil settlement 7 · Convicted at trial 2
Largest amount named
$146M
restitution · 2025

Fraud by program in Wisconsin

ProgramAnnouncementsMore
Medicaid13Wisconsin Medicaid cases
Medicare7All Medicare cases
PPP/EIDL5All PPP/EIDL cases
Social Security1All Social Security cases
SNAP1All SNAP cases
TRICARE1All TRICARE cases

Where to report fraud in Wisconsin

Type of fraudReport to
Medicaid provider fraudMedicaid Fraud Control and Elder Abuse Unit (MFCEAU) · Wisconsin Department of Justice · 1-800-488-3780
SNAP, child care assistance, cash assistanceDHS – Report Public Assistance Fraud (FoodShare, Medicaid, BadgerCare Plus, WIC; hotline 1-877-865-3432). Child care (Wisconsin Shares) and W-2 fraud go to DCF: https://dcf.wisconsin.gov/reportfraud
Unemployment benefitsDWD – Report Unemployment 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 Wisconsin

ProgramWhat it paysLaw
False claims (medical assistance), attorney general action only; no qui tam
Covers Medicaid / health care only
No whistleblower share. The qui tam statute (Wis. Stat. § 20.931) was eliminated by 2015 Wisconsin Act 55; § 49.485 lets only the attorney general sueWis. Stat. § 49.485
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)

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

The qui tam provision (s. 20.931) was eliminated by 2015 Wisconsin Act 55. Bills to restore it keep failing: AB 1186 (2023) and AB 1237 / SB 1086 (2025), with AB 1237 recorded 'Failed to pass pursuant to SJR 1' on 3/23/2026. HHS-OIG lists Wisconsin as 'Not Approved' (3/21/11; supplement 12/28/16). The AG may still sue under s. 49.485 (forfeiture $5,000–$10,000 plus treble damages).

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

Latest announcements

DateAnnouncementProgramStageAmount
2026-10-16Miracle-Ear and its Foundation Agree to Pay over $6.4 Million to Resolve False Claims Allegations Concerning the Paycheck Protection ProgramPPP/EIDLCivil settlement$6.5M
2026-08-06Milwaukee County Man Sentenced to 18 Months in Federal Prison for Wire Fraud Involving Government Benefit ProgramsSocial SecuritySentenced$300K
2026-06-25Federal Charges Announced in Multi-Million Dollar Medicaid Fraud Scheme and Prescription Drug Diversion Conspiracy; Announcement Made as Part of Justice Department's National Health Care Fraud TakedownMedicaidCharged—
2026-04-28Madison Man Sentenced for Failing to Register as a Sex Offender, Food Stamp Fraud, and Use of a Counterfeit PassportSNAPSentenced$2K
2026-04-17Appleton Clinic to Pay Over $380,000 to Resolve False Claims Act Allegations Relating to the Marketing and Use of Electric Stimulation DevicesMedicaidMedicareCivil settlement$380K
2026-03-23Owner of Now-Closed Milwaukee Prenatal Care Coordination Company Sentenced to 60 Months' Imprisonment for Healthcare Fraud SchemeMedicaidSentenced$2.7M
2026-03-18Owner of Now-Closed Milwaukee Prenatal Care Coordination Company Sentenced to 121 Months' Imprisonment for Healthcare Fraud SchemeMedicaidSentenced$2.4M
2026-03-12Milwaukee Fraudster Sentenced to 11 Years in Federal PrisonMedicaidSentenced—
2026-03-05Waukesha Medical Equipment Company Agrees to Pay Nearly $7 Million to Resolve Allegations of False Billings to Federal Healthcare ProgramsMedicareTRICARECivil settlement$6.9M
2026-01-22Owner of Defunct Prenatal Care Coordination Company Sentenced to 111 Months' Imprisonment for Healthcare Fraud SchemeMedicaidSentenced$781K
2025-12-15Westmoor Country Club Agrees to Pay $1.25 Million to Resolve Claim It Wrongfully Obtained Paycheck Protection Program LoanPPP/EIDLCivil settlement$1.3M
2025-11-21Federal Jury Finds Markita Barnes Guilty of Healthcare Fraud, Aggravated Identity Theft, Providing Unlawful Kickbacks, Obstruction, and Money LaunderingMedicaidConvicted at trial—
2025-11-18Corporation and Former Chief Executive Officer Sentenced for Health Care Fraud and Tax ConspiracyMedicareMedicaidSentenced$146M
2025-09-15Federal Jury Finds Former Prenatal Care Coordinator Guilty of Healthcare Fraud, Aggravated Identity Theft, Providing Unlawful Kickbacks, and Money LaunderingMedicaidConvicted at trial—
2025-08-12Three Chinese-Owned Companies to Pay More Than $21.6M to Resolve False Claims Act Allegations Relating to Paycheck Protection Program LoansPPP/EIDLCivil settlement$21.7M
2025-06-03Florida Man Sentenced to 22 Months' Imprisonment for Conspiracy to Pay and Receive Healthcare KickbacksMedicaidMedicareSentenced$2M
2025-04-08Affiliated Companies Agree to Pay $10.8 Million to Resolve Allegations that They Fraudulently Obtained COVID-19 LoansPPP/EIDLCivil settlement$10.9M
2025-03-24River Hills Man Sentenced to 21 Months' Imprisonment for Paying Healthcare KickbacksMedicaidMedicareSentenced$2.2M
2025-02-19Subsidiary of Chinese State-Owned Entity to Pay $14.2M to Resolve False Claims Act Allegations Relating to Paycheck Protection Program LoanPPP/EIDLCivil settlement$14.2M
2025-01-27Greenfield Man Sentenced to 15 Months' Imprisonment for Paying Healthcare KickbacksMedicaidMedicareSentenced$2.2M
2025-01-24Corporation and Former Chief Executive Officer Plead Guilty to Health Care Fraud and Tax ConspiracyMedicareMedicaidPleaded guilty—

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 21 in the database.

Frequently asked questions

How do I report Medicaid fraud in Wisconsin?

Report provider fraud to the Medicaid Fraud Control and Elder Abuse Unit (MFCEAU) (Wisconsin Department of Justice), 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 Wisconsin pay whistleblowers?

We did not find a general Wisconsin 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 Wisconsin?

21 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. docs.legis.wisconsin.gov/statutes/statutes/49/iv/485
  3. docs.legis.wisconsin.gov/2025/related/proposals/ab1237
  4. docs.legis.wisconsin.gov/2025/proposals/ab1237
  5. docs.legis.wisconsin.gov/2023/proposals/ab1186
  6. oig.hhs.gov/fraud/state-false-claims-act-reviews
  7. wisdoj.gov/Pages/PublicSafety/protecting-the-elderly.aspx
  8. wilenet.widoj.gov/mfcu/medicaid-fraud-control-and-elder-abuse-unit-faqs
  9. dhs.wisconsin.gov/fraud/index.htm
  10. dcf.wisconsin.gov/reportfraud
  11. dwd.wisconsin.gov/ui/fraud/report.htm
  12. U.S. Department of Justice press releases (justice.gov/news)