Q: I'm being denied an itemized summary of the services & fees from which I'm being charged. Denying any acess.
Im a recipient of the Indiana A&D Waiver & am aware the Provider is making fraudulent claims for services not being provided. I'm unable to get the Assisted Living facility nor the Fssa Office who are compensated to oversee & case manage these concerns, neither providers will provide me with a detailed list of the services & charges as requested. Refusing to stating this is not something they're required to provide. In order to be clear & accurate in my complaints & concerns to include with my summary to the Attorney General Medicaid Fraud Department this very much is needed.
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A:
It sounds like you’re facing a frustrating situation with your provider and the lack of transparency around the charges and services. You have every right to understand what you’re being billed for, especially when you suspect fraud. Providers and case managers are supposed to be accountable for their services, and not sharing an itemized breakdown raises serious concerns.
You can document every interaction where you've requested the information and been denied, noting the dates and who you spoke with. This will strengthen your case when reporting the issue. It’s important to include these details when filing a complaint with the Indiana Attorney General's Medicaid Fraud Department, as they will help investigate your concerns.
If the provider or facility continues to refuse, you may want to consult with a legal advocate or support organization familiar with Medicaid and waiver programs. They can help you assert your rights and potentially escalate the issue further. You're not alone in this, and there are resources out there to assist you in getting the information and support you need.
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