oig.hhs.gov

Minnesota Woman Convicted in $3.6M Scheme to Defraud Medicaid Housing Services Program

A federal jury in St. Paul convicted a Minnesota woman yesterday for executing a scheme to steal $3.6 million from the now-defunct Minnesota Medicaid Housing Stabilization Services (HSS) Program.
oig.hhs.gov

Baltimore Man Sentenced to 40 Years in Connection With Murder-for-Hire Plot

Baltimore, Maryland – A Baltimore man received a federal-prison term, today, for plotting the murder of woman, in a case of mistaken identity where the intended target was a federal witness. The May ...
oig.hhs.gov

Florida Laboratory Vice President and Marketer Convicted of Medicare Fraud for COVID-19 Testing Scheme

Yesterday, a federal jury in the Southern District of Florida convicted a Florida man who was the Vice President of a testing laboratory and owned and operated a separate marketing company for his ...
oig.hhs.gov

Heal 360 Clinics and Owner Agree to Pay $20M to Resolve False Claims Act Allegations of Billing False Claims to the COVID-19 Uninsured Program for Services Not Rendered

Heal 360 Urgent Care PLLC, Heal 360 Primary Care PLLC (together “Heal 360”) and their owner, Dr. Mohammed Amer Mohiuddin (Mohiuddin), have agreed to pay the United States $20 million to resolve False ...
oig.hhs.gov

Connecticut U.S. Attorney’s Office Announces More Than $9.2 Million in Settlements Connected to PPP Fraud Enforcement Initiative

David X. Sullivan, United States Attorney for the District of Connecticut, today announced that the Affirmative Civil Enforcement (ACE) Unit of the U.S. Attorney’s Office for the District of ...
oig.hhs.gov

All Reports and Publications

HHS Agency Issue Date All Last 30 Days Last 60 Days Last 90 Days Custom range From To Issue Area Hospitals Contracts COVID-19 Departmental Operational Issues Financial Group Grants Medicaid Medicare A ...
oig.hhs.gov

Medicare Advantage Compliance Audit of Specific Diagnosis Codes That HumanaChoice (Contract H5216) Submitted to CMS

Under the Medicare Advantage (MA) program, CMS makes monthly payments to MA organizations based in part on the health status of enrollees being covered. To determine the health status of enrollees, ...
oig.hhs.gov

CMS Oversight Did Not Prevent Medicare Part D Sponsors From Making $587.7 Million in Ineligible Payments to Pharmacies for Drugs Available Over the Counter but Labeled as ...

CMS contracts with Medicare Advantage organizations and private prescription drug plans (collectively referred to as “sponsors” in this report) to offer Part D managed care benefits to eligible ...
oig.hhs.gov

Department of Justice Announces Launch of National Fraud Detection Center to Combat Fraud Against Taxpayer-Funded Programs

Today, the U.S. Department of Justice announced the launch of the National Fraud Detection Center (NFDC), a prosecutor-led, multi-agency team designed to investigate the most harmful actors defrauding ...
oig.hhs.gov

Medicare Advantage Compliance Audit of Specific Diagnosis Codes That UnitedHealthcare of Wisconsin, Inc. (Contract H5253) Submitted to CMS

Under the Medicare Advantage (MA) program, CMS makes monthly payments to MA organizations based in part on the health status of the enrollees being covered. To determine the health status of enrollees ...
oig.hhs.gov

North Carolina Medicaid Fraud Control Unit: 2025 Onsite Inspection

OIG administers the Medicaid Fraud Control Unit (MFCU or Unit) grant awards, annually recertifies each Unit, and oversees Units’ compliance with the requirements of the grant and adherence to ...
oig.hhs.gov

Twelve Individuals Charged in $10M Home Daycare Fraud Schemes

Twelve individuals are facing federal fraud charges after an investigation revealed that more than $10 million intended to help low-income families pay for childcare was instead funneled to bogus ...