The waiver program in Maryland's Department of Health and Mental Hygiene, which goes toward home and community-based services for people with developmental disabilities, claimed $1.1 billion — $648.6 million in federal money — from July 2009 to June 2012.
The IG's office found that 95 of the 100 claims didn't comply with state and federal requirements, allowing Maryland to improperly claim $20.6 million. The 135 errors — including unallowable costs for room and board — occurred because of a lack of internal controls, the IG said.
Some recipients got up to $145.36 per day, according to the IG.
The IG recommended the Maryland agency give back the $20 million, as well as to take care to claim only allowable costs in the future — and it agreed.