Pennsylvania's Medicaid Fraud Problem

The DOJ made a big arrest of Medicaid fraudsters in Pennsylvania, similar to the fraud scandals in Minnesota.
Pennsylvania politicians are upset after nearly two dozen people were charged with Medicaid fraud in Philadelphia and other places.
Rep. Lloyd Smucker finds the allegations very disturbing, like in Minnesota and other places with similar problems.
Pennsylvania's Attorney General explains why the state leads the nation in Medicaid fraud convictions.
Rep. Lloyd K. Smucker speaks at a hearing on Capitol Hill.
Rep. Smucker says Medicaid fraud is criminal and takes money from people who really need it, like the disabled.
The DOJ's anti-fraud chief agrees with Smucker and describes some of the worst cases among the 19 defendants in Pennsylvania.
One suspect billed Medicaid for services while being pulled over by the police for a traffic violation.
Another suspect billed Medicaid for services while watching a family member get sentenced for Medicaid fraud.
Ohio's State Auditor says Medicaid fraud is not just a problem in Washington.
Pennsylvania Gov. Josh Shapiro speaks during a re-election campaign event in Philadelphia.
Another suspect billed Medicaid for home-care services while driving for a rideshare company.
Rep. Smucker welcomes the cooperation between Pennsylvania officials and the federal government to fight Medicaid fraud.
The Pennsylvania busts are different from those in Minnesota, where the governor has been accused of not doing enough.
Pennsylvania Gov. Josh Shapiro says he will work with Republicans to fight Medicaid fraudsters.
Gov. Tim Walz of Minnesota has been criticized for his handling of Medicaid fraud in his state.
Pennsylvania Gov. Josh Shapiro has a history of prosecuting public assistance-related crimes.
Gov. Shapiro says Pennsylvania is a national leader in stopping Medicaid fraud.
In 2024, Pennsylvania charged 119 cases of Medicaid fraud and recovered over $11 million for taxpayers.
Gov. Shapiro's spokeswoman says he has made fighting public assistance fraud a priority in his career.
Dr. Oz has put all 50 governors on notice about the billions of dollars lost to Medicaid fraud.
The Pennsylvania Department of Human Services brought a case to the Justice Department for further investigation.
The system in Pennsylvania is working to stop Medicaid fraud, according to Gov. Shapiro's spokeswoman.
Pennsylvania has seen a 20% increase in adults in home-care programs since 2018.
The Department of Human Services uses an electronic visit-verification system to ensure proper billing and stop fraud.
Dr. Oz says some blue states have turned Medicaid fraud into a feature.
Pennsylvania Attorney General David Sunday says Medicaid fraud is a serious crime that deprives people of care.
Sunday's office convicted over 100 defendants and recovered over $40 million in 2024.
In 2025, Sunday's office handled 744 referrals from the Department of Human Services.
Rep. Smucker says all stakeholders must be vigilant to stop Medicaid and Medicare-related fraud.
Rep. Smucker invites people to sign up for the politics newsletter.
Rep. Smucker says people like the four seasons in his district, which has a high number of retirees.
Rep. Smucker says fraud is a big problem in federal programs, with hundreds of billions of dollars lost each year.
Pennsylvania officials say investigators are making progress in fighting Medicaid fraud.
Former Pittsburgh U.S. Attorney Scott Brady says investigators are coming for those who commit Medicaid fraud.
The DOJ's Northeast Strike Force was originally organized in Brooklyn and Newark before expanding into Pennsylvania.
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The DEA will hold medical providers accountable if they choose greed over their professional responsibility.
Fox News Digital's Hannah Brennan contributed to this report.
The author of this report was born and raised in Allentown, Pennsylvania, and has worked for Fox News since 2013.