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California Medicaid fraud cases

Every Justice Department announcement of Medicaid fraud prosecuted in California since January 20, 2025.

All announcements

DateAnnouncementStageAmount
2026-09-14Woman Sentenced in Cross-Border Identity Theft and Immigration Fraud SchemeSentenced$9K
2026-07-07Founder/CEO and Clinical President of Digital Health Company Sentenced to 72 Months and 24 Months, Respectively, for $90 Million Scheme to Distribute over 37 Million Pills of AdderallSentenced$90M
2026-05-06Nonprofit Health Care Provider Agrees to Pay $750,000 to Resolve False Claims Act Allegations Involving Misbranded ContraceptivesCivil settlement$750K
2026-04-07Orange County Man Pleads Guilty to Orchestrating Fraud Scheme that Submitted Nearly $270 Million in Bogus Claims to Medi-CalPleaded guilty$270M
2026-04-07California Man Pleads Guilty to Orchestrating $270M Medication Reimbursement Fraud SchemePleaded guilty$178M
2026-01-14Kaiser Permanente Affiliates Pay $556m To Resolve False Claims Act AllegationsCivil settlement$556M
2025-11-19Founder/CEO and Clinical President of Digital Health Company Convicted in $100M Adderall Distribution and Health Care Fraud SchemeConvicted at trial$100M
2025-09-22Fresno County Podiatrist and Sales Representative Plead Guilty to Conspiracy to Submit False Claims Related to Skin GraftsPleaded guilty—
2025-09-17United States Files Suit Against California-Based Health Plan for Alleged False Claims to California's Medicaid ProgramOther—
2025-09-17United States Files Lawsuit Against San Bernardino County-Based Health Plan for Alleged False Claims to California's Medicaid ProgramOther—
2025-08-19California Behavioral Medicine Provider Agrees To Pay $2.75 Million To Resolve Alleged False Claims For Psychotherapy ServicesCivil settlement$2.6M
2025-04-10Fresno County Podiatrist and Sales Representative Indicted for Conspiracy to Submit Millions of Dollars in False Claims Related to Skin GraftsCharged—
2025-03-21Hollywood Hills Man Sentenced to Nearly 3½ Years in Federal Prison for Paying Nearly $2.9 Million in Kickbacks for Drug Addiction Patient ReferralsSentenced—

Source: U.S. Department of Justice press releases. Amounts should not be added: one case can appear at several stages. Charged cases are allegations.

Where to report Medicaid fraud in California

Medicaid fraud is covered by the federal WHIP program: a tip that leads to criminal charges can earn $10,000–$30,000. More on reporting Medicaid fraud, all fraud cases and reward laws in California, and Medicaid cases in every state.

Frequently asked questions

How many Medicaid fraud cases has the DOJ announced in California?

13 announcements since January 20, 2025, or 4.3% of all Medicaid announcements in our database. Each press release is counted separately, so one case can appear at charge, plea and sentencing.

How do I report Medicaid fraud in California?

Division of Medi-Cal Fraud & Elder Abuse (DMFEA) (800-722-0432); HHS Office of Inspector General (1-800-HHS-TIPS (1-800-447-8477)); America.gov/fraud (WHIP reward portal). To be eligible for a federal WHIP award, submit the tip in writing at America.gov/fraud.

Sources

  1. U.S. Department of Justice press releases (justice.gov/news)
  2. HHS-OIG: Report fraud
  3. HHS-OIG: Medicaid Fraud Control Units
  4. DOJ: National Fraud Enforcement Division Criminal Tip Rewards Pilot Program, terms and conditions (updated Oct. 20, 2026)