The federal False Claims Act encourages individuals (whistleblowers) to report the suspected submission of fraudulent claims to Medicaid. If the reported violation is considered valid, the U.S. Attorney will file a civil action for recoupment plus treble damages. The successful whistleblower shares up to 20% of the damages, which can be millions of dollars. The federal False Claim Act is below.
2009_7_FEDERAL FALSE CLAIMS ACT.doc (159.50 kb)
The analysis below describes the settlement of a whistleblower lawsuit in New York.
2009_7_Legal Brief 2009 07 23_New York Settlement.pdf (26.64 kb)