The outright fraud is enormous but the quasi-fraud is probably bigger. I was just told (by a person that works as a case manager in the program) about a Medicaid program where special needs people get money for in home care and other assistance. One individual who is an adult with autism qualified to get $97,000 per year in assistance. The person is semi-verbal, and can't drive and lives with their parents. 

I'm sure the money is wonderful for the family to deal with this circumstance, but how can Medicaid continue this way? Who decided what the $ amounts are?