Well, mom has a job, at least. She could come up with the money to pay them back if they demanded a refund at some point.
I knew a guy who had a business that was a ride service for nursing homes. The state offered him a contract that ended up being more generous payment than the Feds allowed for Medicare. Later, he went to Federal prison for defrauding the government. Apparently, a state-level official's approval is not enough to avoid liability when it comes to Federal funds. And good luck trying to sue the incompetent state official. That's never going to happen, because they are immune from suits for money as a member of the government.
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