Across the announcement, federal and state authorities charged 19 defendants, including home care company owners, employees, purported aides, and Medicaid recipients. Warning Signs Worth Recognizing at HomeSome of the alleged conduct required a recipient's participation, which is why prosecutors charged Medicaid recipients alongside aides. Every state operates a Medicaid Fraud Control Unit that handles both billing fraud and abuse or neglect in Medicaid-funded settings. Nineteen defendants across federal and state cases, including home care company owners, employees, purported aides, and Medicaid recipients. To a state Medicaid Fraud Control Unit, run by the state attorney general, or to the HHS Office of Inspector General hotline.