DOJ Charges 19 in Pennsylvania Medicaid Fraud Sweep as State Cites $8 Billion Home-Care Risk
Updated
Updated · Fox News · Aug 16
DOJ Charges 19 in Pennsylvania Medicaid Fraud Sweep as State Cites $8 Billion Home-Care Risk
1 articles · Updated · Fox News · Aug 16
Summary
Nineteen people were charged in Philadelphia and elsewhere in the first broad Pennsylvania action by the DOJ’s expanded anti-fraud task force, targeting Medicaid home-care billing schemes.
DOJ officials said suspects billed for care while pulled over by police, in court, driving for a rideshare company and even in prison, underscoring allegations that funds were diverted from disabled recipients and taxpayers.
Pennsylvania’s exposure is large: the state spends $8 billion on Medicaid home-care services and has seen a 20% rise in adults in home-care programs since 2018.
Gov. Josh Shapiro and Republican lawmakers backed the crackdown, with the state pointing to 119 Medicaid fraud cases charged in 2024, more than $11 million recovered, and 744 DHS referrals handled by the attorney general’s office in 2025.
The case is being cast as a contrast with Minnesota’s scandal, with federal and state officials stressing cooperation as the DOJ’s Northeast Strike Force expands its broader national fraud push.