Larimer legislators seek to balance bills, budget: "Lundberg also will make another run at a bill offering greater flexibility for those requiring medical care or living assistance under the Medicaid program.
Currently, he said, such services can be provided only in Medicaid-approved facilities by approved providers. With a federal waiver, Lundberg said, his bill would allow such services to be performed by family caregivers or smaller care facilities at a greatly reduced cost."
It's hard to think of any other single step that would do so much to increase fraud and abuse.There are reasons certification of providers as a condition of participation in public funds is mandatory.