Missouri Governor announces plan to crack down on Medicaid Fraud

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Missouri Governor Mike Kehoe announced Monday the state has notified the Centers for Medicare & Medicaid Services of plans to fast-track new eligibility checks for high-risk Medicaid providers. The move is part of a coordinated effort with federal partners to crack down on fraud and safeguard taxpayer dollars for the state’s most vulnerable residents.

In a letter sent to CMS Administrator Dr. Mehmet Oz, Governor Kehoe expressed his appreciation for the federal administration’s renewed focus on program integrity and their “detect and deploy” strategy to root out corruption within the Medicaid system.

“Missouri has always been a leader in protecting taxpayer resources, and we are proud to stand with Dr. Oz and the Trump Administration in this critical mission,” said Governor Mike Kehoe. “Fraud, waste, and abuse have no place in our state. By accelerating our revalidation process for high-risk providers, particularly those operating without standard identifiers, we are sending a clear message: Missouri will not tolerate criminal actors who attempt to steal resources from the seniors, children, and people with disabilities who rely on Medicaid.”

The Missouri Department of Social Services, through the MO HealthNet Division, will implement a high-risk provider revalidation strategy beginning Tuesday. This effort will prioritize provider types historically vulnerable to fraudulent activity, including those without National Provider Identifiers (NPIs). The Division is also developing a two-year comprehensive provider revalidation strategy over the next month.

“Our team is already moving to implement these enhanced screening protocols,” said Josh Moore, Director of the MO HealthNet Division. “We are committed to a transparent and rigorous process that supports honest, hardworking healthcare providers while removing those who seek to exploit the system for personal gain.”

The Governor has directed state agencies to coordinate closely with CMS to in an effort to ensure Missouri remains part of national efforts to modernize and secure the Medicaid program.


   

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