Division of Medi-Cal Fraud & Elder Abuse
To protect our most vulnerable citizens and help safeguard the state's Medi-Cal program, the Attorney General's Division of Medi-Cal Fraud and Elder Abuse works aggressively to investigate and prosecute those who would defraud taxpayers of millions of dollars and divert scarce health care resources from the needy. The Division of Medi-Cal Fraud and Elder Abuse also works aggressively to protect residents in nursing homes and other long-term care facilities from abuse or neglect. These dedicated efforts have earned national recognition for the Division of Medi-Cal Fraud and Abuse.
California's most vulnerable people - its children, poor, elderly and disabled - can all too often be victimized by:
- Doctors and other providers ordering unnecessary lab tests, and allowing untrained, uncertified assistants to provide medical treatment to patients;
- Pharmaceutical corporations and other entities within drug supply chains engaging in unlawful practices to increase sales or reimbursement at the state’s expense;
- Dentists performing unnecessary teeth extractions on both adults and children;
- Medical supply companies billing for equipment and products that were neither ordered nor delivered;
- Nursing homes allowing their patients to suffer from bedsores, malnutrition and dehydration; and
- Nurse assistants physically and financially abusing elderly and dependent adult patients who are entrusted to their care.
Your Legal Duty - Reporting Elder and Dependent Adult Abuse
California’s elder and dependent adults have the right to receive quality care and be treated with dignity. Too often while residing in nursing homes and other care facilities, out of the sight of the general public, they are the victim of neglect and abuse by those trusted with their care. You can be part of the solution or part of the problem. If you see abuse, report! As a mandated reporter, it’s your legal duty.
This video and written curriculum are designed for mandated reporters under section 15630 of the California Welfare and Institutions Code.
Who is a mandated reporter?
All Staff in every:
- Long-term health care facility;
- Community care facility;
- Residential facility for the elderly;
- Hospital; and
- Everyone who counsels or cares for, or handles finances for California’s elderly and dependent adult.
The reporting requirements have changed and our office is working on a new curriculum along with a revised video. Please use the document entitled “Mandated Reporter Flow Chart," which describes the newly revised requirements, to supplement the curriculum and video.
While most health care providers in the state's Medi-Cal program are committed to giving the finest and most appropriate treatment to their patients, some unfortunately place profit and greed above patient care and the law.