Medicaid Monitor
Policy Intelligence
Medicaid Monitor
Policy Intelligence
Updated 12:31 PM MT
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Legal·PA·August 24, 2026

DOJ Expands Northeast Fraud Strike Force to Philadelphia, Announces Medicaid Home Care Charges

On August 4, 2026, the Department of Justice announced expansion of the Northeast Health Care Fraud Strike Force to Philadelphia, bringing additional federal investigative resources to the Eastern District of Pennsylvania to target Medicaid fraud. The expansion joins DOJ's Health Care Fraud Section with the U.S. Attorney's Office for the Eastern District and was announced alongside new Medicaid home care fraud charges. The move signals increased federal enforcement scrutiny of Medicaid programs in Pennsylvania, particularly in home and community-based services where fraud schemes involving personal care and home health aides have drawn enforcement attention. Strike forces combine federal prosecutors, FBI, HHS-OIG, and other agencies to coordinate investigations and criminal prosecutions.

Why it matters

The Philadelphia expansion brings concentrated federal enforcement capacity to Pennsylvania Medicaid programs, particularly LTSS and home care providers, signaling heightened fraud investigation and prosecution risk in a state with significant managed LTSS activity.

LTSS · Managed Care

Read the full article at jdsupra.com

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