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.
Executive summary
The Justice Department's National Fraud Enforcement Division and the Department of Health and Human Services Office of Inspector General issued a joint policy on 15 October 2026 clarifying where companies must report potential criminal health care fraud. Under the policy,…
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Source documents
https://www.justice.gov/opa/pr/national-fraud-enforcement-division-and-department-health-and-human-services-announce-selfRead by Regulus 15 Oct 2026 at 20:06 UTC
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