The U.S. Department of Justice (DOJ) has initiated several lawsuits against New York State, alleging extensive fraud in its Medicaid home care programs, including the $11 billion home health care system. The lawsuits claim that state officials, under the Hochul administration, have engaged in unlawful schemes that allowed fraud to proliferate within the Medicaid framework, particularly concerning the Consumer Directed Personal Assistance Program (CDPAP). Accusations include a fraudulent bidding process and backroom deals designed to benefit insiders. As the investigations unfold, the Justice Department seeks to halt these alleged fraudulent activities and has called attention to the need for a comprehensive overhaul of the home care system in New York.