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Medicaid fraud

Attorney General Dave Sunday
Crime & Safety / Pennsylvania

Pa. Leads Nation in Medicaid Fraud Convictions, Report Finds

April 1, 2026March 31, 2026 - by Maryann Pugh

HARRISBURG, PA — Pennsylvania ranked first in the nation for Medicaid fraud convictions and recovered more than $41 million in misused funds last year, according to a new federal report.

Pa. Leads Nation in Medicaid Fraud Convictions, Report Finds Read More

Court News
Crime & Safety / Pennsylvania

Montgomery County Woman Sentenced in $1.76 Million Medicaid Fraud Case

March 11, 2026March 11, 2026 - by Zainuddin Harinder

HARRISBURG, PA — A Montgomery County woman was sentenced to prison for her role in a $1.76 million Medicaid fraud scheme involving a home care agency where she served as …

Montgomery County Woman Sentenced in $1.76 Million Medicaid Fraud Case Read More
Pennsylvania capitol
Crime & Safety / Pennsylvania

Pa. Blocks $61 Million in Benefit Fraud as Oversight Expands

March 8, 2026March 8, 2026 - by Maryann Pugh

HARRISBURG, PA — Pennsylvania investigators stopped more than $61 million in improper public assistance payments last year by reviewing nearly 20,000 benefit applications flagged for potential fraud, according to the …

Pa. Blocks $61 Million in Benefit Fraud as Oversight Expands Read More

Centers for Medicare & Medicaid Services
National / Social Services

CMS Defers $259.5M, Imposes Medicare Moratorium

March 1, 2026March 1, 2026 - by Maryann Pugh

WASHINGTON, D.C. — Federal health officials have deferred $259,505,491 in federal Medicaid funding to Minnesota and imposed a six-month nationwide moratorium on certain Medicare supplier enrollments as part of a …

CMS Defers $259.5M, Imposes Medicare Moratorium Read More
US Department of Health and Human Services (HHS)
Health / Medical / National

HHS Rolls Out Health Push, Fraud Crackdown, Farm Plan

March 1, 2026March 1, 2026 - by Maryann Pugh

WASHINGTON, D.C. — Federal health officials this week announced a sweeping series of actions ranging from new drug approval guidance and Medicare fraud enforcement to more than $1 billion in …

HHS Rolls Out Health Push, Fraud Crackdown, Farm Plan Read More

Court News
Crime & Safety / Pennsylvania

Office Manager Sentenced in $1.76M Medicaid Scam That Rocked Home Care Firm

January 14, 2026January 14, 2026 - by Zainuddin Harinder

HARRISBURG, PA — A former office manager at a Montgomery County home care agency has been sentenced to prison for her role in a sprawling Medicaid fraud scheme that siphoned …

Office Manager Sentenced in $1.76M Medicaid Scam That Rocked Home Care Firm Read More
Settlement, fines
Crime & Safety

Philadelphia Pharmacy to Pay $2.3M in Medicaid Fraud Case Over HIV Drugs

October 2, 2025October 2, 2025 - by Zainuddin Harinder

HARRISBURG, PA — A Philadelphia pharmacy chain has pleaded guilty to felony Medicaid fraud and theft charges and will pay more than $2 million in restitution after investigators uncovered a …

Philadelphia Pharmacy to Pay $2.3M in Medicaid Fraud Case Over HIV Drugs Read More

Office of the Attorney General
Crime & Safety / Pennsylvania

Philadelphia Pharmacy Accused of $2M HIV Drug Scam Using Unregulated Medications

July 31, 2025July 31, 2025 - by Zainuddin Harinder

HARRISBURG, PA — Pennsylvania Attorney General Dave Sunday announced criminal charges this week against a Philadelphia pharmacy accused of dispensing unregulated HIV medications while fraudulently billing Medicaid and Medicare for …

Philadelphia Pharmacy Accused of $2M HIV Drug Scam Using Unregulated Medications Read More
Legal
Crime & Safety / Pennsylvania

Two Pennsylvania Health Care Workers Charged in National Medicaid Fraud Crackdown

July 3, 2025July 2, 2025 - by Zainuddin Harinder

HARRISBURG, PA — Two Pennsylvania men are facing serious allegations of defrauding the Medicaid system as part of a sweeping national law enforcement operation targeting health care fraud, officials announced …

Two Pennsylvania Health Care Workers Charged in National Medicaid Fraud Crackdown Read More
Legal
Crime & Safety / Regional

Bucks County Woman Charged in National Health Care Fraud Case

July 1, 2025July 1, 2025 - by Zainuddin Harinder

PHILADELPHIA, PA — A Bensalem woman has been charged in connection with a nationwide health care fraud investigation that authorities allege caused a loss of over $1 million to Medicaid.

Bucks County Woman Charged in National Health Care Fraud Case Read More

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