Audit of Indiana’s Medicaid attendant care program flags widespread violations
INDIANAPOLIS (WISH) — 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.
Secretary Mitch Roob of Family and Social Services said, “It’s a direct threat to safety, and it represents a complete breakdown of the most basic protections we owe the people we serve.”
Auditors reviewed 625 claims across five high-risk providers between January 2022 and March 2025. They identified the providers as Guardian Care, Healing Hands Personal Services, Help at Home, Tendercare Home Health, and Team Select Home Care...

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