Tag: fraud

California Legislators Shriek: ‘Stop Nick Shirley!’

Without the second Trump Administration, we would surely not have discovered, and most importantly, acted upon, the fraud being committed around the country, most notably in blue states like Minnesota and California. So much has been discovered so rapidly, President Trump appointed Vice President Vance to head an anti-fraud task force, and the DOJ hired additional prosecutors to handle the dramatically increasing number of cases. Federal officials are suggesting the sheer amount of fraud, discovered and yet to be discovered, is so staggering clawing back that money could balance the federal budget.

Instrumental in exposing sufficient fraud so it could no longer be ignored by local or state officials is independent journalist Nick Shirley, who exposed the infamous “Quality Learing Center” day care fraud in Minneapolis, as well as many less well-known fraudulent day cares. So effective was Shirley, and so quickly did his work anger local fraudsters and state officials, Shirley received so many death threats he apparently decided to give California a try. This was the immediate result: 

Independent journalist Nick Shirley has released a devastating 40-minute investigative video that exposes what appears to be massive waste and potential fraud in California’s hospice, Medi-Cal, and daycare programs. His report, now viewed more than 7.7 million times on X, uncovers over $170 million in questionable billings tied to ghost hospice and daycare operations that show virtually no signs of actually caring for patients or children.

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Massachusetts Sues UnitedHealthcare Over Alleged $100 Million Fraud

Massachusetts sued UnitedHealthcare on May 29, alleging the company defrauded the state’s Medicaid program by making seniors appear sicker than they were to secure higher payments.

The company contracted with MassHealth to provide a Senior Care Options—which combines Medicare and Medicaid benefits into one plan—for seniors aged 65 and older.

UnitedHealthcare allegedly received more than $100 million in fraudulent payments from MassHealth between 2015 and 2025, Massachusetts Attorney General Andrea Joy Campbell stated in the complaint.

UnitedHealthcare, a subsidiary of UnitedHealth Group, said the complaint is “meritless and doesn’t accurately describe our Senior Care Options program” in ‌a statement emailed to The Epoch Times.

The legal complaint alleged UnitedHealthcare inflated payment rates in three ways.

Upcoding

Massachusetts paid UnitedHealthcare a per-member, per-month rate for each senior enrolled in the plan based on UnitedHealthcare’s assessments of the member’s health conditions.

UnitedHealthcare allegedly labeled members as having behavioral health disorders such as depression or anxiety, or substance use disorders to gain higher reimbursement rates, according to the complaint, when the members had no diagnosis or treatment on record for such conditions.

An analysis by the attorney general’s office revealed that nearly 30 percent of UnitedHealthcare’s 2014 through 2024 behavioral health assessments lacked any matching medical claims to support the mental health diagnoses reported to the state.

Keeping Overpayments

The insurer’s internal reviews identified that many members were incorrectly placed in the highest and most expensive level of care despite not qualifying for it, according to the lawsuit.

While the company eventually downgraded these members to lower-paying levels, it allegedly failed to inform the state of the prior errors or return the extra money it had already collected.

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MASSIVE EBT & CHARITY FRAUD EXPOSED: Dominican Immigrants in Lawrence, Massachusetts Buying Food with Your Taxpayer-Funded Stamps and Free Charity Donations, Then Shipping It Overseas to Sell for Profit in Santo Domingo Bodegas

Independent investigator Muckraker has blown the lid off a sophisticated, long-running Electronic Benefit Transfer (EBT) and charity fraud operation in Lawrence, Massachusetts.

Dominican immigrants have been openly buying groceries with food stamps (EBT/SNAP cards) or taking free food from charities and food banks, loading it into shipping barrels, and sending it straight to the Dominican Republic — where it gets resold for profit in local bodegas. The pipeline runs from Massachusetts corner stores, through shipping hubs in New York, all the way to Santo Domingo.

According to the Muckraker Foundation:

Lawrence, Massachusetts

Lawrence is a small city about 30 miles north of Boston. It has the highest concentration of Dominican immigrants of any city in Massachusetts, and the highest rate of SNAP enrollment in the state.

John has been delivering goods in Lawrence for over 11 years, six days a week, 35 stops a day. He knows the community intimately.

“I’ve been witnessing the Dominican residents going to food bank lines and collecting non-perishable goods,” he told us, “and then packing it in barrels and in boxes, and then they ship it back to the Dominican Republic.”

We asked him how he knew the food was being purchased with food stamps.

“Some of them have openly told me and my wife that that’s what they’re doing,” he said. “And then the other way is the math.”

The math is straightforward. A 50-pound bag of rice costs $30 in Lawrence. That same bag costs $35 in the Dominican Republic. Add shipping, and the economics make no sense unless the food was free or paid for with government benefits.

John drove us through the streets of Lawrence and showed us the evidence hiding in plain sight: blue shipping barrels, stacked outside corner stores, for sale. Not one store. Not two. Store after store after store.

“These barrels aren’t trash cans,” John said. “They’re being used to ship the product.”

Every one of those stores also advertised, prominently, that they accept EBT.

Abigail has worked in Lawrence since 2011. She asked us not to disclose her profession, but her job takes her inside people’s homes on a daily basis.

“Many of them will have large boxes, large bins in their apartments full of the food that they give out at the pantries here,” she told us. “And when I ask them what it’s for, they say they mail it back so it can either be given to their families there or be sold in the bodegas there.”

We asked if these patients knew they were doing something wrong.

“No,” she said, and laughed quietly. “They feel entitled. They feel like that’s what we come here for.”

We asked how widespread she believed the fraud to be among the patients she visits.

“About half,” she said. “Half the people I see.”

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Seattle’s New Socialist Mayor Flatly Refuses to Investigate Fraud at Somali Daycare Centers

Given the massive amount of fraud that has been uncovered at Somali daycare centers in Minneapolis alone, you would think that every American city would be looking into this rather seriously.

That is not going to happen in Seattle, however.

Katie Wilson, the city’s new socialist mayor was recently asked if she is doing any investigation into this and responded with a simple “no.”

The Post Millennial reported:

Seattle socialist mayor will NOT investigate fraud at Somali-run daycare centers, calls it attack on immigrants

Seattle Mayor Katie Wilson said the city has no intention of investigating fraud claims in taxpayer-funded social programs, claiming the concerns are an effort to target immigrant communities rather than address legitimate financial irregularities.

In an interview with KOMO News, Wilson was asked if she had authorized the Seattle Police Department or the city’s Office of Immigrant and Refugee Affairs to investigate fraud charges involving daycare providers, particularly those in Somali and other immigrant communities. The mayor responded: “No.”

“This whole issue is not really about fraud,” said Wilson. “It’s about dividing and conquering. It’s about making an immigrant community a target. There’s no reason to assume based on the identity of a daycare operator that their small business is doing anything wrong.”

She added that “it’s problematic to have random people showing up to daycares” and emphasized that “the fear in the Somali community is real” and “the fear in immigrant communities are real,” saying her administration is “taking that very seriously.”

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TOTAL CORRUPTION: Two Minnesota Muslim Women Arrested In Massive $21 Million Autism Program Scam — Taxpayer Cash Sent Overseas!

The Department of Homeland Security’s Homeland Security Investigations (HSI) has arrested two Muslim women in Minnesota for defrauding American taxpayers of more than $21 million through a brazen scheme targeting the state’s autism services program.

Shamso Ahmed Hassan, 55, and Hanaan Mursal Yusuf, 25, both of Brooklyn Park, were taken into custody by HSI agents. Federal prosecutors say the pair submitted $46.6 million in fraudulent claims to Minnesota’s Early Intensive Developmental and Behavioral Intervention (EIDBI) program — a Medicaid-funded service for children with autism — and pocketed approximately $21.1 million in taxpayer money for services that were never provided.

According to the DHS statement and indictment:

  • Hassan was a beneficial owner of Smart Therapy Center LLC and Star Autism Center LLC but hid her ownership interests from Minnesota regulators as required.
  • Yusuf worked as a provider and was heavily involved in operations and submitting claims.
  • They paid illegal kickbacks to parents to enroll children.
  • They billed for services that were never rendered, for children who didn’t qualify, and disguised the kickbacks by routing money through family members and employees — with some funds sent overseas.
  • The scheme ran from at least May 2020 through December 2024.

“These Minnesota residents have been accused of stealing more than $21 million from the American taxpayer,” said Acting Assistant Secretary Lauren Bis.

“They now face charges of conspiracy to commit health care fraud, EIGHT counts of health care fraud, and TWO counts of money laundering. Their Medicaid fraud scheme started during the COVID pandemic and lasted for four years. ICE continues to zero in on the rampant fraud in Minnesota. Under Secretary Mullin, we will end the defrauding of the American people.”

Both women are U.S. citizens (Hassan naturalized). They have pleaded not guilty and remain in federal custody.

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MASSIVE FRAUD PROBE: HHS Auditing All 50 States Following Shocking, Nationwide Explosion in Medicaid Autism Billing — Taxpayer Dollars Drained by ‘Bad Actors’

In a massive, long-overdue crackdown on government waste and rampant abuse, the Department of Health and Human Services (HHS) has officially put all 50 states on notice.

As The Gateway Pundit previously reported, a federal HHS Office of Inspector General audit found Colorado made at least $77.8 million in improper fee-for-service Medicaid payments for Applied Behavior Analysis (ABA) therapy for children diagnosed with autism in 2022-2023 alone.

Every single one of the 100 sampled enrollee-months contained at least one improper or potentially improper claim. Auditors flagged another $207+ million in potentially improper payments.

Similar horror shows hit Wisconsin ($18.5 million improper), Indiana, and Maine, with confirmed improper payments across audited states totaling around $198 million (roughly 31% of the spending reviewed in those samples).

The Department of Homeland Security’s Homeland Security Investigations (HSI) has arrested two Muslim women in Minnesota for defrauding American taxpayers of more than $21 million through a brazen scheme targeting the state’s autism services program.

Now the feds are going nationwide.

CMS has issued a direct call to all 50 states to re-evaluate high-risk ABA providers, remove illegitimate ones, and report back with plans to clean house. States have tight deadlines — 10 business days to respond and 30 days for a full strategy.

This comes alongside the new AERO initiative (Audit Enforcement and Risk Oversight), which is using AI and aggressive follow-up to finally hold states accountable for years of ignored audit failures and chronic noncompliance across HHS programs.

The spending numbers are insane and demand scrutiny:

  • In North Carolina, Medicaid ABA spending surged from roughly $1.9 million just five years ago to over $505 million in 2025 — with projections blasting past $1 billion soon. Some reports flag increases in the thousands of percent.
  • Across eight states with available data, combined Medicaid autism therapy spending exploded from $347 million to over $2.2 billion in recent years — a 561% increase.
  • Minnesota saw one of the most grotesque spikes: from under $700,000 in 2018 to $342+ million by 2024 in its EIDBI autism program.

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Food Stamp Fraud Pipeline Exposed: U.S. Taxpayer-Funded Groceries Shipped Overseas And Sold For Profit

Food stamps and food pantries are intended to keep struggling Americans fed.

What we found is that, in some communities, that food never reaches an American table. Instead, it gets shipped overseas and sold for profit.

The scheme works like this. Residents in cities like Lawrence, Massachusetts collect food through two channels: purchasing it at local markets using EBT cards, and picking it up for free from food banks and churches. That food is then packed into large blue barrels, dropped off at shipping companies, and sent by container ship to the Dominican Republic. Once it arrives, it is sold for profit in local stores. The people doing this see nothing wrong with it. In many cases, they do it openly.

According to a local that assisted us with this story, this fraud has been happening for over a decade.

Over the course of several weeks, Muckraker Foundation traced the full pipeline from food pantry lines in Lawrence, Massachusetts, through shipping warehouses in New York, to store shelves in Santo Domingo. This is what we found.

Lawrence, Massachusetts

Lawrence is a small city about 30 miles north of Boston. It has the highest concentration of Dominican immigrants of any city in Massachusetts, and the highest rate of SNAP enrollment in the state.

John has been delivering goods in Lawrence for over 11 years, six days a week, 35 stops a day. He knows the community intimately.

“I’ve been witnessing the Dominican residents going to food bank lines and collecting non-perishable goods,” he told us, “and then packing it in barrels and in boxes, and then they ship it back to the Dominican Republic.”

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SBA Administrator Kelly Loeffler Reveals $200 BILLION in Fraudulent PPP Loans Were Hidden by Biden Admin – “People Are Going to Jail”

Small Business Administration (SBA) Administrator Kelly Loeffler revealed during a White House cabinet meeting on Wednesday that her agency has uncovered staggering amounts of fraud, including $200 billion in fraudulent Paycheck Protection Program (PPP) loans that the Biden regime kept hush-hush. 

“We found $200 billion in fraudulent PPP loans that the Biden administration tried to hide and forgive and sweep under the rug,” she said.

Amid discussions about fraud and Vice President JD Vance’s Task Force to Eliminate Fraud, Loeffler made the stunning announcement.

As The Gateway Pundit reported, President Trump went off on the Somali fraudsters in Minnesota and Somali Rep. Ilhan Omar for pillaging the US Treasury. He further suggested that even more fraud has been discovered that will shatter the earth.

“In two months, we’ve exposed 10s of billions of dollars of defrauded taxpayer money, prosecuted numerous fraudsters,” he said.

“You haven’t seen anything yet,” Trump added. “Wait till you see. I’m getting reports from Todd, from JD. I’ve never seen anything like it.”

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HORROR: Vice President Vance Tells Story of Elderly Man Who DIED From Neglect as Medicaid Fraudster Got Rich Neglecting Him

Vice President JD Vance on Tuesday told a horrifying story about how fraud affects the most vulnerable among us while speaking at an anti-fraud roundtable, revealing that an elderly man was killed due to a Medicaid fraudster’s neglect. 

Vance, the Chairman of the White House Task Force to Eliminate Fraud, and Federal Trade Commission Chairman Andrew Ferguson, the Task Force Vice Chair, held a roundtable on Tuesday with over a dozen State Attorneys General to discuss the Trump Administration’s nationwide crackdown on federal benefits fraud.

After brief remarks from the White House officials, they held a private meeting with the Attorneys General.

Before closing his public remarks, Vance emphasized that the fraud schemes “are not victimless crimes,” reminding the country of what consequences fraud victims could face, including death.

In a recent indictment in Minnesota, Vance said, a man who was being reimbursed by the Medicaid program to provide services to elderly patients, “was providing nothing, no services, no help, no check-ins.”

Because of this, one of his patients under his watch died “after months of being neglected by the caretaker who was getting reimbursed by the American people.”

Still, one day before the man died, the fraudster submitted another reimbursement for “services he never provided for a man he never cared for.”

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Vice President JD Vance Says White House Anti-Fraud Task Force Has Identified Tens of Billions in Fraud – At Least $135 billion Stolen Since COVID

Vice President JD Vance on Tuesday spoke at an anti-fraud roundtable with state attorneys general and White House officials, where he told reporters that his team has identified staggering amounts of fraud totaling tens of billions of dollars.

Vance, the Chairman of the White House Task Force to Eliminate Fraud, and Federal Trade Commission Chairman Andrew Ferguson, the Task Force Vice Chair, held a roundtable on Tuesday with over a dozen State Attorneys General to discuss the Trump Administration’s nationwide crackdown on federal benefits fraud.

After brief remarks from Vance, Ferguson, White House Deputy Chief of Staff Stephen Miller, and Assistant Attorney General for the National Fraud Division Collin McDonald, they held a private meeting with the attorneys general.

Vance opened his remarks by highlighting the work his team has accomplished to date.

“We exposed billions of dollars in benefits that had been stolen from the American people,” he said, revealing the following:

  • Over $22 billion in fraudulent small business loans
  • More than $1.3 billion in fraudulent Medicaid reimbursements
  • $6.3 billion in suspected fraudulent government contracts
  • $60 million in student aid fraud

He further told reporters that $135 billion has been stolen since the aftermath of the COVID pandemic.

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