of Inspector General Recovers $7.3 Million in Medical Assistance Long Term Care
Harrisburg – Inspector General Michael A.
Sprow announced today that the Office of Inspector General recovered more than
$7.3 million in taxpayer funds for the fiscal year 2013-2014 from individuals
who were ineligible to receive long term care assistance.
addition, the commonwealth realized over $2.6 million in cost savings for the
same period. Cost savings represent future use of commonwealth funds that
would have been expended for Long Term Care services on behalf of an ineligible
Long Term Care program provides nursing home and in-house care for medically
and financially eligible individuals. Each year, the program pays out
millions of dollars to ensure that elderly and disabled Pennsylvanians receive
the care they need and deserve.
of Inspector General receives referrals from the Department of Public Welfare
(DPW) where it is suspected or verified that Long Term Care Medical Assistance
benefits were inappropriately provided to an individual.
instances, individuals or their personal representatives fail to disclose to
the commonwealth income and/or assets such as real estate, stocks, or pensions
in order to qualify the individual for Medical Assistance benefits.
occurs, the Office of Inspector General investigates and recovers those
taxpayer funds that were inappropriately provided.
of Inspector General’s Bureau of Fraud Prevention and Prosecution is
responsible for investigating welfare fraud and conducting collection
activities for programs administered by, or contracted through, DPW.
Office of Inspector General also relies on tips from concerned citizens. To
report suspected fraud, call the Welfare Fraud Tipline at 1-800-932-0582.
Callers may remain anonymous.
the Pennsylvania Office of Inspector General online at www.oig.state.pa.us.
contact: James H.