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Attorney General's News Release

March 11, 2014

AG Koster's Medicaid Fraud Control Unit ranks among top 10 in the nation

Jefferson City, Mo. – Attorney General Chris Koster announced today that an annual report from the United States Department of Health and Human Services (HHS) of state Medicaid Fraud Control Units ranks Missouri's as among the top ten in the nation. The HHS report highlights achievements from investigations and prosecutions by Medicaid Fraud Control Units in forty nine states and the District of Columbia. Missouri ranked ninth in total recoveries, with more than $47 million in 2013.

According to the report Missouri also ranked:

  • sixth in dollars recovered per Unit employee, with nearly $2.4 million recovered for each of the Unit’s twenty employees, and
  • fifth in total number of civil settlements and judgments.

Last year, the Missouri Medicaid Fraud Control Unit collected more than $23 for every dollar spent to run the Unit. Recoveries since January of 2009 total more than $248 million.

"Since I became Attorney General, prosecuting fraud and recovering stolen healthcare dollars has been a high priority for my office," said Koster. "Efficiency of government is critical, particularly during these challenging economic times. This report validates the hard work of our Medicaid Fraud Control Unit in recovering funds from those who steal from Missouri taxpayers."

The full report can be viewed at http://oig.hhs.gov/oei/reports/oei-06-13-00340.asp.

The states and the federal government share in the costs of funding the Medicaid program, and also share in Medicaid recoveries based on their proportion of payments. Missouri most recently has contributed about $36 for every $100 paid in Medicaid benefits to Missouri citizens. Missouri's share of last year's $47 million in recoveries would roughly track the same percentage.

Koster said he encourages individuals to report suspected fraud to his Medicaid Fraud Control Unit. State law provides that a whistleblower may be entitled to 10 percent of any Medicaid fraud money recovered as a result of their tip. One Missourian received more than $8,000 last January in a case involving several dental clinics in Southern Missouri. Missourians can report suspected Medicaid provider fraud and abuse online or through the Medicaid Fraud Hotline at 800-286-3932.



 
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