BREAKING NEWS

AG Koster obtains additional $1.6 million for Missouri from Medicaid fraud settlement

Oct 21, 2016, 10:19 AM
DateTime:
Oct 21, 2016, 10:18 AM

Jefferson City, Mo. – Attorney General Chris Koster announced today that Missouri’s Medicaid fraud program recovered an additional $1.6 million for the state as part of the March 17, 2015, settlement agreement between APS, the United States, and Missouri. APS has paid more than $11 million to the state and federal government pursuant to the settlement agreement, with $5.7 million of that amount for Missouri.

From 2008 to 2010, APS contracted to provide administrative services for two state Medicaid programs. Under the two programs, APS was to assist with managing the care for chronically ill Medicaid beneficiaries in Missouri, coordinating their preventive care in order to reduce overall costs related to emergency care. Koster contended that APS failed to comply with material contractual terms of both Missouri programs related to beneficiary contact and billing requirements.

APS’s additional payment of $1.6 million to the state resulted from contingencies in the March 2015 settlement agreement and constitutes the final payment pursuant to the settlement agreement.

“Companies that do business with Medicaid must be held accountable to do what they promise,” Koster said. “APS did not fulfill its responsibilities, and now it has been forced to return millions of dollars to the Medicaid system.”