Enforcement, updated every day.
Every health care enforcement release from the Department of Justice and the HHS Office of Inspector General, including state attorneys general and Medicaid fraud control units, fetched daily and read into the same schema the detectors use. Each one links to the providers it names when the match is certain, and the newest is dated May 22, 2026. These are public records of charges, pleas, sentences and settlements, not findings by Verity.
This Week in Fraud: The Fraud Division Announced Expansion of Midwest Task Force and Authorization to Hire 15 New Medicaid Prosecutors, an Unprecedented Minnesota Health Care Fraud Takedown, and a $2 Billion Telemedicine Health Care Fraud Scheme
The Justice Department announced charges against 15 defendants for Medicaid fraud schemes totaling over $90 million in intended loss, a 10-year sentence in a $2 billion international health care fraud conspiracy in Brooklyn, and a Michigan jury conviction of a nurse who bribed a Detroit hospital nurse for confidential records used to bill Medicare in a $1.6 million scheme, along with expansion of the Health Care Fraud Midwest Strike Force and hiring of 15 additional Medicaid fraud prosecutors.
Minnesota Health Care Fraud Takedown Results in Charges Against 15 Defendants for Over $90M in Fraud
Fifteen defendants were charged in connection with schemes involving over $90 million in intended loss against Minnesota Medicaid programs, including paying kickbacks to parents and billing for autism, Integrated Community Supports, Individualized Home Supports, Housing Stabilization Services and child care services that were not provided as represented.
Fraud Tourists Plead Guilty to Minneapolis Medicaid Fraud
Two men set up businesses in Minneapolis, enrolled as Housing Stabilization Services providers, recruited Medicaid beneficiaries at homeless shelters and Section 8 housing, billed for services not provided, and used ChatGPT and fabricated e-mails to create fake client records when asked for documentation.
First Defendant Charged in Autism Fraud Scheme
Hassan and others enrolled Smart Therapy LLC as an EIDBI autism services provider, recruited children with cash kickbacks to parents, employed unqualified behavioral technicians, and submitted inflated and fabricated Medicaid claims for services not provided, obtaining more than $14 million, while also submitting approximately $465,000 in fraudulent Federal Child Nutrition Program claims through Feeding Our Future.
NUWAY Alliance Agrees to Pay $18,500,000 Settlement in Medicaid Kickbacks Scheme, False Claims Act Violations
NUWAY compensated Medicaid patients for seeking intensive outpatient treatment in violation of the federal anti-kickback statute and submitted false claims for IOP services not provided by double-billing the same period of time as distinct billable units.
Minnesota Couple Indicted in $15 Million Medical Billing Fraud Scheme
The indictment alleges the defendants overbilled Medicare, Medicaid, and other insurers for neurofeedback therapy provided through Golden Victory Medical, LLC using inapplicable medical codes, code combinations that could not be combined, and codes indicating longer service durations than provided, and laundered the proceeds.
Sartell Woman Pleads Guilty in Bank Fraud Case
Starin submitted fraudulent claims for reimbursement to TRICARE through her business Baby's on Broadway and, when TRICARE began rejecting claims, created fake invoices from a shell company called Sunshine Medical LLC to obtain over $9,000,000 in financing from two lenders.
Three Indicted In Medicaid Fraud Conspiracy Scheme
Three defendants used an outpatient drug and alcohol treatment center, Evergreen Recovery, Inc., to overbill Medicaid and other health care programs for treatment that was not provided or not eligible for reimbursement, using free housing in controlled sober homes as a kickback to induce clients to enroll and attend sessions, and creating backdated electronic health record entries.
Nationwide Home Healthcare and Hospice Provider To Pay $3.85M To Resolve False Claims Act Allegations
Intrepid U.S.A., Inc. and subsidiaries agreed to pay $3.85 million to resolve allegations that they knowingly submitted Medicare claims for home healthcare services for patients who did not qualify or where services were not medically necessary, provided by untrained staff, or not performed, and for hospice patients who were not eligible for the hospice benefit.