The Texas Medicaid Fraud Prevention Act applies just to false claims submitted to the state’s Medicaid program. The Act has a six-year statute of limitations.

A successful whistleblower can receive between 15% and 25% of the recovered proceeds in cases where the state intervenes, and between 25% and 30% if the state declines to intervene. The law also protects those who suffer employment retaliation for blowing the whistle.

Texas has a separate law that allows for an award for reporting fraud, waste or overcharging in the state Medicaid program, if the reported information results in the recovery of an administrative penalty. The award may not exceed five percent of the amount of that administrative penalty.