A Southern California healthcare clinic operator, Oscar B. Abrons III, has been sentenced for his involvement in a prescription medication diversion scheme that defrauded Medi-Cal, the state’s Medicaid program, of more than $20 million.

Abrons was sentenced by the Orange County Superior Court to four years in jail and stipulated that the loss to the Medi-Cal program exceeded $20 million. A restitution hearing will be held to determine the loss amount owed by Abrons.

Abron’s co-conspirators, Steven Derrick Fleming and Mohamed Waddah El-Nachef, were previously sentenced. Fleming was sentenced to five years in state prison, and El-Nachef was sentenced to a five-year local custody sentence and surrendered his medical license. As part of his sentence, El-Nachef also paid $2.3 million in restitution. At the time of his arrest in 2020 El-Nachef had stipulated to disciplinary charges filed in 2019 with the California Board of Medicine and had been placed on seven years probation. El-Nachef was also suspended from participating in the workers’ compensation system as a physician, practitioner, or provider on February 23, 2023 by an order of the Administrative Director of the DWC.

El-Nachef was charged in March 2020 with a half-dozen felony counts, including executing a scheme to defraud Medi-Cal, making a fraudulent claim for a health benefit, filing a fraudulent insurance benefit claim, conspiring in the unauthorized practice of medicine and grand theft, with sentencing enhancement allegations for aggravated white- collar crime between $100,000 to $500,000 and aggravated white-collar crime exceeding $500,000.

Fleming and Abrons jointly operated God’s Property, an unlicensed clinic where Medi-Cal beneficiaries were paid cash in exchange for obtaining medically unnecessary prescriptions for HIV medications, antipsychotics and controlled substances, which were then sold to buyers on the illicit market.

Fleming and Abrons, alongside Mohamed Waddah El-Nachef, an Orange County medical doctor, carried out the diversion scheme from June 23, 2014, to October 1, 2016. During this time, El-Nachef became the top prescriber of HIV medications in the state. As a result of the scheme, Medi-Cal suffered an estimated loss of over $20 million.

The prosecution of these individuals was carried out by the California Department of Justice’s Division of Medi-Cal Fraud and Elder Abuse (DMFEA). DMFEA works to protect Californians by investigating and prosecuting those responsible for abuse, neglect, and fraud committed against elderly and dependent adults in the state, and those who perpetrate fraud on the Medi-Cal program.

The Division of Medi-Cal Fraud and Elder Abuse receives 75 percent of its funding from the U.S. Department of Health and Human Services under a grant award totaling $69,244,976 for Federal fiscal year (FY) 2025. The remaining 25 percent is funded by the State of California. FY 2025 is from October 1, 2024, through September 30, 2025.