DOJ and HHS clarify a single route for criminal health-care fraud disclosures
An October 15 federal policy says qualifying criminal health-care disclosures to DOJ’s Health Care Fraud Section can receive benefits under both DOJ’s and HHS-OIG’s disclosure programs.
What the record says
The agencies say a separate HHS-OIG portal submission is unnecessary for qualifying disclosures through DOJ’s Fraud Division. HHS-OIG also clarified that potentially criminal conduct should be reported to DOJ. A disclosure only to HHS-OIG generally does not constitute a voluntary disclosure to DOJ or establish eligibility for a declination on that basis.
Source details and supporting locations.
Practical next step
Organizations assessing potential misconduct should consult the agencies’ complete published policies and qualified counsel.
Limits and what is not established
Disclosure-program benefits depend on applicable conditions. This announcement does not grant blanket immunity, eliminate civil or administrative consequences, or determine any particular company’s eligibility.
Sources checked October 16, 2026. Later notices may change instructions or arrangements.
Original sources
U.S. Department of Justice: original information