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Review of Louisiana Medicaid Personal Care Services Provided by American Pride Caregivers, LLC

For the period October 1, 2006, through March 31, 2009, the Louisiana Department of Health and Hospitals, Bureau of Health Services Financing (the State agency), did not always ensure that American Pride Caregivers, LLC's (American Pride), claims for Federal reimbursement of Medicaid personal care services complied with certain Federal and State requirements. Of the 100 claims in our random sample, 86 did not comply with these requirements. As a result, American Pride received at least $119,000 of unallowable reimbursement.

Filed under: Centers for Medicare and Medicaid Services