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Data Brief on Fraud in Medicaid Personal Care Services

OIG has conducted numerous audits, evaluations, and investigative work involving personal care services (PCS). Much of this work is summarized in a November 2012 portfolio report to Centers for Medicare & Medicaid Services entitled "Personal Care Services: Trends, Vulnerabilities, and Recommendations for Improvement" (OIG-12-12-01). The portfolio report summarized the observations and findings of previous OIG evaluation and audit reports on Medicaid PCS and offered recommendations for improving program oversight. We will issue a data brief that provides, through data collected from the 50 State Medicaid Fraud Control Units (MFCUs, or Units) and OIG's Office of Investigations, an overview of PCS statistical data collected since the portfolio was issued in 2012. The data brief will provide information on State and Federal investigations, indictments, convictions, and recoveries involving fraud and patient abuse or neglect in Medicaid PCS. The data presented in this brief are intended to illustrate the prevalence and magnitude of fraud and patient abuse or neglect involving PCS. This data will be especially important for OIG's future work with Centers for Medicare & Medicaid Services to combat these issues.

Announced or Revised Agency Title Component Report Number(s) Expected Issue Date (FY)
October 2017 Centers for Medicare & Medicaid Services Data Brief on Fraud in Medicaid Personal Care Services Office of Evaluation and Inspections OEI-12-16-00500 2018

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