LITIGATION

This lawsuit, brought by two minor A&D Waiver participants with complex medical needs who received attendant care from their parents and the Indiana Protection and Advocacy Services Commission, asks the court to direct FSSA to ensure that the state provides the care necessary for medically complex individuals to remain in the community. The lawsuit argues that FSSA’s actions violate the Americans with Disabilities Act’s integration mandate, the Rehabilitation Act, and numerous Medicaid rules, including choice of services provisions.

This lawsuit, filed on behalf of the state and the federal government by two former state officials and whistleblowers, alleges four companies in charge of managing Indiana Medicaid “knowingly and improperly” misused millions in Medicaid funds to pay claims that violate billing requirements. It also said six hospital systems obtained millions in funds by submitting thousands of false claims to Medicaid.