Fraud and Abuse in Personal Care Services Draws the Ire of Congress

Lawmakers on the House Energy and Commerce Committee heard testimony on Tuesday, May 2, about waste, fraud and abuse in the Medicaid program’s personal care services expenditures.

Personal care services refers to people who help the elderly or disabled with the activities of daily living, such as shopping, preparing meals, bathing and dressing. Medicaid spent $14.5 billion on personal services for 3.2 million beneficiaries during the 2014 fiscal year, according to Christi Grimm, the chief of staff in the Office of Inspector General (OIG) of the Department of Health and Human Services (HHS), who testified at the hearing.

About one-third of state-level Medicaid fraud investigations involve personal care services, said Ms. Grimm, who went on to say that program integrity should be a primary issue for all concerned.