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Attorney General's News Release

January 15, 2014

Missouri Medicaid Fraud Unit recovered $47 million in 2013

Jefferson City, Mo.— Attorney General Chris Koster today said his office recovered more than $47 million in 2013 for Missouri’s Medicaid Program as the result of action taken against 48 Medicaid providers. This brings the total to more than $271 million in Medicaid judgments and recoveries by the Attorney General's Office since 2009. Last year, the Missouri Medicaid Fraud Control Unit collected more than $23 for every dollar spent to run the Unit. 

According to Koster, in 2013 his office:

  • Resolved criminal matters regarding 21 medical and home health care providers. Six were given prison sentences; 12 received probation, and three entered into deferred prosecution agreements. 
  • Resolved civil cases against 27 medical, pharmaceutical, and home health care providers.             

The State 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, so, Missouri’s share of last year's $47 million in recoveries would conform roughly to that percentage.

"My office is committed to aggressively pursuing medical and home health care providers who are stealing from the taxpayers of Missouri by committing Medicaid fraud," Koster said. "Our criminal prosecutions and our recoveries of large sums of money serve as a warning to providers who would consider submitting false claims to Medicaid: we are watching, and you will not get away with it."

Koster said he encourages individuals to report suspected Medicaid fraud to his office. 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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