Attorney General’s Office Medicaid Fraud Control Unit Secures $5 Million in Restitution and 19 Convictions Since January, Eclipsing Previous Year

Aug 27, 2019, 11:34 AM
Aug 27, 2019, 11:31 AM

Jefferson City, Mo. – Missouri Attorney General Eric Schmitt announced today that the Medicaid Fraud Control Unit of the Attorney General’s Office has secured over $5 million in Medicaid fraud restitution and 19 convictions since January, eclipsing the previous year on both metrics.

“Our Medicaid Fraud Control Unit works tirelessly to investigate and prosecute instances of fraud within the Medicaid system in Missouri, ensuring that the Attorney General’s Office serves as a fearless advocate for our most vulnerable citizens,” said Attorney General Schmitt. “These figures send a clear message to anyone who wishes to use the Medicaid system for unlawful person gain: we will hold you accountable for your actions.”

Since January, the Medicaid Fraud Control Unit of the Missouri Attorney General’s Office has obtained $5.2 million in restitution and 19 convictions related to instances of Medicaid fraud. This has already surpassed the figures from the entirety of 2018, which brought $3.1 million in restitution and 7 convictions. The MFCU’s investigators work to root out instances of fraud within the Medicaid system, and then attorneys within the unit, or federal prosecutors, bring appropriate enforcement actions.

Some notable enforcement actions include a guilty plea and $200,000 restitution in the case of a Mount Vernon dentist defendant, a guilty plea and $36,000 in restitution from a mother and son set of defendants in St. Louis County, a $310,000 restitution order in a St. Francois County case in which the owner of a residential care facility financially exploited a disabled resident, and a joint case between the Attorney General’s Office and the U.S. Attorney’s Office for the Western District of Missouri in which a Springfield couple were convicted on all 40 counts of healthcare and payroll tax fraud, totaling nearly $1 million in theft.

Missourians who wish to report suspected instances of Medicaid fraud are asked to do so by calling (800) 286-3932 or by filling out a form online.