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Orange County Man Pleads Guilty in $270M Medi-Cal Fraud

4/8/2026

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Story summary
  • Paul Richard Randall (Orange County man) pleaded guilty to wire fraud for submitting false Medi-Cal claims for unnecessary prescription drugs.
  • Randall and two accomplices exploited a suspension of prior-authorization requirements to bill Medi-Cal for high-reimbursement drugs.
  • From May 2022 to April 2023, they received over $178 million as part of $270 million Medi-Cal fraud scheme.
  • Randall faces a maximum of 30 years in prison, with sentencing set for August 3.