US EditionIndiana FSSA Audits Identified Nearly $200 Million in Improper Payments
Auditors reviewed 625 claims and found nearly all had missing checks, poor records or improper billing, prompting efforts to recoup payments.
- An FSSA audit released Thursday found nearly $200 million in improper payments extracted by five high-risk attendant care providers over a three-year period, revealing widespread billing failures and safety lapses.
- The audit covers a period when explosive growth in attendant care costs contributed to a $1 billion Medicaid budget shortfall; program costs surged more than $150 million from 2021 to 2022 without corresponding increases in patient need.
- Auditors reviewing 625 claims found three providers had 100% error rates, with violations including missing criminal background checks and billing for noncovered services. FSSA Secretary Mitch Roob called the findings a "reckless disregard for safety."
- Secretary Mitch Roob said the state will recoup the improper payments, while parents united under Indiana Families United for Care argue the audit confirms systemic issues and urge adequate funding for the state's sickest Hoosiers.
- Ongoing litigation persists over Structured Family Caregiving rates as the state navigates federal mandates under the Americans with Disabilities Act of 1990, while attempting to reconcile program accountability with access for vulnerable residents.
12 Articles
12 Articles
Indiana audit of Medicaid attendant care program flags widespread violations
A sweeping audit by the Indiana Family and Social Services Administration found nearly $200 million in improper payments tied to home- and community-based attendant care services.WATCH FULL STORY BELOW Indiana audit of Medicaid attendant care program flags widespread violationsSecretary Mitch Roob of Family and Social Services said, Its a direct threat to safety, and it represents a complete breakdown of the most basic protections we owe the peo…
Fox 59 Indianapolis
WTWO NewsIndiana FSSA audits identified nearly $200 million in improper payments
INDIANAPOLIS — An audit from the Indiana Family and Social Services Administration into five providers identified nearly $200 million in improper payments. According to a news release from th…
Indiana wants $200M back from attendant care providers
The Indiana Family and Social Services Administration is seeking $200 million in improper payments from Indiana’s five largest attendant care providers after an audit of Medicaid claims found errors in nearly all claims reviewed.
News and Tribune
FSSA seeks return of $200 million in improper payments to attendant care providers
The Indiana Family and Social Services Administration is seeking $200 million in improper payments from Indiana’s five largest attendant care providers after an audit of Medicaid claims found errors in nearly all claims reviewed.
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