Thank you for the story “Oz questions Medicaid Spending.” I am glad to hear that the CMS is cracking down on Medicaid Fraud, Waste and Abuse in New York State. Apparently, our Medicaid Spending is much higher than it is in other states, mostly because of home health programs. I want to share my experience with this.

From 2011-2014, I worked as an HHA/PCA for the NHTD/TBI program through a home health agency in the Hudson Valley. This is part of Medicaid’s Home and Community Based services. NHTD stands for Nursing Home Transition and Diversion Waiver and is for people who would otherwise qualify to live in a nursing home but can live in the community with support. TBI stands for Traumatic Brain Injury and is the same model for people........

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