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Wednesday, October 7, 2026 · Updated 12:08 PM MT · 50 stories today
Wed, Oct 7 · 50 stories todayPRO
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LegalOctober 7, 2026

DOJ Fraud Division Names Health Care Among Top Enforcement Targets

In a client alert, Hall Render reports that DOJ's National Fraud Enforcement Division (NFED) Assistant Attorney General Colin M. McDonald issued an October 1, 2026 memo outlining corporate fraud enforcement priorities, including health care fraud, controlled substance distribution, and FDCA violations. Starting around October 8, 2026, prosecutors in the Fraud Division's prosecuting sections must report ongoing and new corporate investigations to a newly empowered Corporate Enforcement Section, which will also take over evaluating companies' compliance programs and resolution compliance. The memo lists aggravating factors prosecutors must weigh heavily, including management involvement in fraud, concealment from regulators, conduct lasting three-plus years, harm to taxpayer-funded programs, and losses exceeding $25 million or affecting 25+ victims. DOJ also directed the division to expand whistleblower incentive programs, signaling continued reliance on qui tam-style reporting mechanisms.

Why it mattersHealth care organizations, including Medicaid managed care plans and providers, face heightened scrutiny of their compliance programs and should expect faster-moving, more coordinated DOJ fraud investigations with stronger whistleblower incentives.

Pharmacy · Finance

Read the full article at hallrender.com →
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