Fraud cases
Documented cases, defendants, amounts, timelines, and the agencies that surfaced them.
Browse casesIndependent Medicaid oversight · All 50 states · Public records only
We flag Medicaid providers from public records, and mail the case files to prosecutors.
Medicaid Oversight is an independent project run by a private person. Provider-level signals are built from OIG exclusions, CMS enrollment records, federal court filings and state licensing rosters across all 50 states, reviewed by hand, then mailed to the offices that can subpoena. A flag is a reason to look, not a finding of fraud.
549 case files mailed to 290 enforcement offices · signals refreshed 2026-09-16
Featured case file · Active litigation
$2.48 million in sole-source grants to a Minneapolis church. Zero competitive bids.
DHS is suing Zion Baptist Church to recover the funds. Jury trial set for August 2027.
Read the case fileThe investigations
Each one is a documented record: named sources, dated filings, and the method used to reach the finding.
Browse all case filesAll 50 states + DC · Ranked
Flagged providers relative to program size
Providers (NPIs) carrying at least one fraud or compliance signal from our national crosswalk, per 100,000 Medicaid & CHIP enrollees. Highest concentration first.
What a high rate is not. "Flagged" means an automated signal surfaced a provider for human review — it is not a finding of fraud, and a high rate does not mean a state has more fraud.
Explore by topic
What the public record does and does not contain in each state.
Program risk
Compare high-risk program lines, spending patterns, and provider concentration.
Explore programsManaged care
Review plans, payments, performance, network adequacy, and oversight staffing.
View managed careSources & methods
See the public agencies, records, definitions, and coverage dates behind each state profile.
Review sourcesReferral follow-through · 2026-07-13 to 2026-09-16
We mailed 549 case files to 290 enforcement offices. 28 have opened one.
Each letter names providers flagged by our crosswalk and carries a private code to the online case file. The portal records which office signs in, and every office that has is listed by name.
What this does not show. A letter is self-contained: an investigator can open a case, subpoena records and prosecute without ever signing in here. An office missing from that list has not been shown to have ignored anything.
See which offices have signed inSources, methods & corrections
Everything published here rests on a record you can pull yourself.
Where the figures come from
Every figure links to the federal or state record it came from — OIG exclusions, CMS and NPPES enrollment files, PACER filings, state licensing boards and county parcel data — with the coverage date for each.
See the sourcesHow a signal is built
Automated matching surfaces a provider for human review; a person decides whether it goes any further. Preliminary analyses use initials only, and individuals are named only from filed criminal or civil proceedings.
Read the methodologyIf something here is wrong
Corrections are dated, kept on the page, and say what was wrong rather than quietly replacing it. If a page is wrong about you or your organisation, say so and it will be checked against the record.
Corrections