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Indiana FSSA Announces Results of HCBS Attendant Care Audits Revealing $200 Million in Improper Payments
The Indiana Family and Social Services Administration (FSSA) recently completed audits of several Attendant Care providers and found significant issues with how some services were billed and documented between 2022–2025.
What families should know:
Audits identified nearly $200 million in improper payments across several providers
Issues included missing documentation, lack of required background checks, and services billed that didn’t meet program rules
No changes are being made to eligibility, but the state is increasing oversight to protect families and taxpayer dollars
What’s happening next:
More frequent and targeted audits of providers
Stronger review of billing before and after payments
Increased checks on service documentation and compliance
Ongoing focus on protecting program integrity while maintaining access to care
What Attendant Care is meant to be:
Attendant Care helps individuals with daily living needs like bathing, dressing, eating, mobility, and community participation—not medical or clinical tasks.
While these findings relate to provider billing practices, they may raise understandable questions for families receiving services and highlight why oversight matters for long-term stability of care. FSSA says these steps are meant to strengthen trust in the system and ensure services are delivered safely and correctly for Hoosiers who rely on them. In response, FSSA is expanding oversight efforts through increased auditing, stronger billing reviews, and enhanced provider monitoring to improve accountability and ensure proper use of Medicaid funds. While no changes are being made to eligibility for services, the state emphasizes that these steps are intended to protect program integrity and support safe, appropriate care for individuals who rely on Attendant Care services.
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