Indiana FSSA Announces Results of HCBS Attendant Care Audits Revealing $200 Million in Improper Payments, Initiates Aggressive Oversight Expansion
News Release by Indiana Family and Social Services Administration: INDIANAPOLIS — The Indiana Family and Social Services Administration (FSSA) Thursday announced findings from comprehensive audits of five Home- and Community-Based Services Attendant Care (ATTC) providers. The audits identified $198,031,230.18 in extrapolated improper payments (including interest) and systemic compliance failures across the review period of January 1, 2022 through March 31, 2025. The audits were initiated after ATTC program expenditures increased by more than $150 million between 2021 and 2022 — a spike not supported by changes in member need or program structure. Using Statistically Valid Random Sampling (SVRS) aligned with
