Missouri has codified a number of health care fraud and abuse provisions as they relate to federal and state health care programs.  Many of these laws mirror and expand the federal fraud and abuse laws.  For example, the state prohibits false statements and kickbacks in making claims for payment by all health care providers, not only those participating in state or federal medical assistance programs.1  The state also prohibits a health care provider from knowingly make a false statement or misrepresentation of a material fact in an application for payment by the Medicaid program or on an application to determine a person’s eligibility for benefits under Medicaid.2  Missouri also imposes reporting requirements on the state Attorney General as well as the state Medicaid agency to report information on the number of prohibited referrals, total amount of overpayments to providers, total amount of money recovered, the total number of arrests, indictments, convictions, and sanctions on Medicaid participating providers.3  The law also outlines the various sanctions that may be imposed on Medicaid providers, including withholding payments, suspension from the Medicaid program, or cancelling a provider’s agreement with Medicaid.4