KHN Morning Briefing

Summaries of health policy coverage from major news organizations

The Latest Fraud Target: Medicaid Personal-Care Programs

The Center For Public Integrity/The Washington Post: Blistering Inspector General Report Says Feds Are Failing To Fight Medicaid Home Care Fraud
A Health and Human Services Office of the Inspector General (OIG) report scheduled to be released today faults the Centers for Medicaid and Medicare Services (CMS) for inadequate oversight of personal care services programs, whose costs are shared by states and the federal government, as is the norm for Medicaid. The report, which brings together six years of OIG investigations and 23 reports on the topic, describes a program hindered by poor claims documentation, insufficient monitoring of claims data for fraud and waste, and a crazy-quilt of varied requirements for personal care workers in different states (Eaton, 11/14).

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