DOJ and HHS-OIG make the Fraud Division the single door for criminal health care self-disclosures
The Justice Department's National Fraud Enforcement Division and HHS-OIG have resolved a long-standing dual-reporting problem for health care fraud. A single disclosure to the Fraud Division now carries the benefits of both DOJ's Corporate Enforcement Policy and the OIG Self-Disclosure Protocol. This segment covers what changed, how the two agencies divided criminal from civil conduct, and the trap for firms that disclose only to OIG.
- One disclosure to the Fraud Division's Health Care Fraud Section now automatically confers HHS-OIG SDP benefits, with no additional OIG portal submission required.
- HHS-OIG updated its SDP to state criminal conduct should go to DOJ; disclosing only to OIG generally will not qualify a company for a declination.
- The Fraud Division was created on 7 April 2026; its Health Care Fraud Section runs nine strike forces and has charged more than 6,200 defendants since 2007.