Attorney General's News Release
January 11, 2006
Nixon provides General Assembly with specific proposals to fight Medicaid fraud by providers
Jefferson City, Mo. — Attorney General Jay Nixon today provided
members of the Missouri General Assembly with six specific proposals
to help the state fight fraud by Medicaid providers. Nixon’s
proposals come as a special committee of the Missouri Senate investigates
such fraud. A letter
containing the proposals
and a more detailed outline
of the proposals
were delivered yesterday to the committee members.
The proposals from Nixon are for the General Assembly in 2006 to
pass legislation to:
- Create a State False Claims Act for Medicaid fraud.
- Require pharmaceutical companies to disclose and certify, under
penalty of perjury, their Average Manufacturer’s Price and
Average Sales Price to the Division of Medical Services on a monthly
- Impose criminal sanctions for providers who obstruct an investigation.
- Provide enhanced investigative tools to uncover fraud.
- Expand the definition of “abuse” of a nursing home
resident to include financial abuse.
- Eliminate the loophole that allows nursing home operators to avoid
civil penalties when they commit violations impacting patient
health or safety.
After taking office in 1993, Nixon established a Medicaid Fraud
Control Unit within his office. At the time, Missouri was one of
only a few states without such a unit. In 2005, the Attorney General’s
Office collected $27.9 million from providers who defrauded the
Inquiries from consumers should be directed to email@example.com or 1-800-392-8222 (from within Missouri) or 573-751-3321 (outside Missouri).
All media inquiries should be directed to the Press Secretary.
E-mail Phone: 573-751-8844 Fax: 573-751-5818