Allegations of Medi-Cal fraud in San Diego can result in criminal charges, financial penalties, and professional discipline. Medi-Cal fraud cases are prosecuted under California law, and investigations often involve state agencies working alongside local prosecutors.
The Law Office of Vikas Bajaj defends healthcare providers and individuals accused of Medi-Cal fraud throughout San Diego County.
What Is Medi-Cal Fraud?
Medi-Cal fraud involves knowingly submitting false claims or information to California’s Medicaid program. These cases often arise from audits, whistleblower complaints, or billing reviews.
Common Medi-Cal fraud allegations include:
- Billing for services not rendered
- Overbilling or double billing
- Misrepresentation of services
- Provider fraud
- Patient eligibility fraud
Many cases begin as administrative audits and later become criminal investigations.
Medi-Cal Fraud Investigations in San Diego
Medi-Cal fraud cases are commonly investigated by:
- California Department of Justice
- California Department of Health Care Services
- Local district attorneys
- Insurance fraud units
You may be contacted long before formal charges are filed. What you do at this stage matters.
Penalties for Medi-Cal Fraud in California
Medi-Cal fraud penalties may include:
- Felony or misdemeanor charges
- Fines and restitution
- Probation or jail time
- Loss of Medi-Cal billing privileges
- Professional license discipline
A conviction can permanently affect your ability to practice or operate a healthcare business.
Medi-Cal Fraud FAQs – San Diego
Medi-Cal fraud involves knowingly submitting false claims or information to California’s Medi-Cal program to receive payment.
Yes. Medi-Cal fraud is prosecuted under California state law, while Medicare fraud is typically prosecuted federally.
Yes. Administrative audits often lead to criminal Medi-Cal fraud investigations if investigators suspect intentional wrongdoing.
Do not provide statements or documents without consulting a defense attorney. Early legal guidance can prevent escalation.
Yes. Depending on the evidence, Medi-Cal fraud charges may be dismissed or reduced through negotiation or legal challenges.
Contact a Medi-Cal Fraud Defense Lawyer in San Diego
If you are facing Medi-Cal fraud allegations or an investigation, contact the Law Office of Vikas Bajaj to protect your rights and your future.
