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Fraud and Abuse

Committing fraud or abuse is against the law. Fraud is a dishonest act done on purpose.

Examples of member fraud are:
  • Letting someone else use your MO HealthNet Managed Care health plan card(s) or red card or white MO HealthNet card.
  • Getting prescriptions with the intent of abusing or selling drugs.
An example of provider fraud is: 
  • Billing for services not provided.
Abuse is an act that does not follow good practices.
  • An example of member abuse is going to the emergency room for a condition that is not an emergency.
  • An example of provider abuse is prescribing a more expensive item than is necessary.

You should report instances of fraud and abuse to:

  • Missouri Care 1-800-322-6027
  • Missouri Care Compliance Hotline 1-866-678-8355
  • MO HealthNet Division Participant Services 1-800-392-2161
  • Or Medicaid Fraud and Control Unit (MFCU) Hotline: 1-800-286-3932

For participant fraud or abuse: 

  • Department of Social Services Division of Legal Services, Investigation Unit 1-573-751-3285
  • Send email to mmac.reportfraud@dss.mo.gov 

For provider fraud or abuse: 

Report Fraud and Abuse Using this Online Form.


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State Approved: 06/22/2016 MOC16078 Last Updated On: 7/12/2016
On April 1, 2019, Missouri Care will transition to LIBERTY Dental Plan for all of your dental services. Your dental benefits will not change with the switch to LIBERTY Dental. If you have any questions, contact Missouri Care Member Services at 1-800-322-6027. ×