MEDICAID/HEALTHCARE FRAUD COMPLAINT FORM

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Complete the form below to file a complaint with the Attorney General’s Medicaid Fraud Division.

Please understand that the Attorney General is not your private attorney, but enforces public safety laws. By submitting this form you agree to testify in court to the facts stated in this complaint. Please complete this complaint form in as much detail as possible.

A PDF version  is available for printing and mailing.


Medicaid Fraud Complaints

YOUR CONTACT INFORMATION

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Complaint Information

My complaint is against a (Check One):
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Max. file size: 300 MB.

Your Employer Information

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The Medicaid Fraud Control Unit ("MFCU") of the Attorney General's Office has authority to investigate and prosecute allegations of fraud against Missouri's Medicaid program. Specifically, the MFCU investigates individuals and companies that provide health care services to MO HealthNet participants. If you wish to participate in the whistleblower program described in Section 191.907, RSMo, you must complete and return a Whistleblower Application. You will not be entitled to any proceeds of a recovery by this office if you do not do so. To request this application, please select the box below and a Whistleblower Application will be mailed to the address you provided on page one (1) of this Complaint Form.
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