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Missouri government benefits fraud cases

Federal fraud prosecutions announced in Missouri, where to report fraud against public programs, and what Missouri and federal law pay whistleblowers.

DOJ announcements
68
Since January 20, 2025
Sentencings
27
Pleaded guilty 23 · Charged 13
Largest amount named
$55M
alleged loss · 2025

Fraud by program in Missouri

ProgramAnnouncementsMore
PPP/EIDL30Missouri PPP/EIDL cases
Social Security13Missouri Social Security cases
Medicaid12Missouri Medicaid cases
Medicare12Missouri Medicare cases
Unemployment4All Unemployment cases
Other federal program3
Child care2All Child care cases
Housing1All Housing cases
VA benefits1All VA benefits cases

Where to report fraud in Missouri

Type of fraudReport to
Medicaid provider fraudMedicaid Fraud Control Unit · Office of the Attorney General · (800) 286-3932
SNAP, child care assistance, cash assistanceMissouri Department of Social Services – Report Public Assistance Fraud (Welfare Investigation Unit; regional hotlines, e.g. Central 877-770-8055)
Unemployment benefitsMissouri Division of Employment Security – Report Unemployment Fraud
Medicare and other HHS programsHHS-OIG · 1-800-HHS-TIPS
Any WHIP-covered federal program, if you want a rewardAmerica.gov/fraud (how to submit)

Whistleblower rewards in Missouri

ProgramWhat it paysLaw
Medicaid fraud original-source rewardA person who is the original source of the information the Attorney General uses to bring a civil action under § 191.905.14 receives 10% of any recovery, but nothing if that person planned, initiated or took part in the conduct. A separate 10% reward (of the forfeited compensation) applies to original-source information about a state employee's willful violation of § 36.460.RSMo § 191.907
Federal WHIP$10,000–$30,000 per tip that leads to criminal chargesDOJ terms
Federal False Claims Act15–25% of the recovery if the government intervenes; 25–30% if not31 U.S.C. § 3730(d)

Missouri law does not pay whistleblowers a share of state recoveries through a false claims lawsuit, so the federal programs are the main route to a reward.

No qui tam statute: only the AG can sue (RSMo § 191.905), and informants get a statutory 10% reward instead. The AG page describes it as '10 percent of the State's share of the amount recovered', but the statute says 'ten percent of any recovery'. The MFCU handles provider fraud only, not recipient fraud.

Estimate federal awards for your case with the calculator, or compare programs in WHIP vs the False Claims Act.

Latest announcements

DateAnnouncementProgramStageAmount
2026-09-14The U.S. Attorney's Office for the Western District of Missouri Joins DOJ's Fraud Division, SBA and SBA OIG in COVID-Era Loan Takedown Targeting $245 Million in COVID Loan Fraud NationwidePPP/EIDLCharged—
2026-09-08Missouri Man Sentenced for $284,000 Pandemic Rental Assistance FraudHousingSentenced$284K
2026-09-01Kansas City Childcare Operator Indicted for Defrauding State ProgramChild careCharged—
2026-08-26Former Missouri Pastor Convicted of All Charges Related to Pandemic, Auto, Personal Loan FraudPPP/EIDLConvicted at trial$1.2M
2026-08-18Jury Convicts Kansas City Woman for Fraud Related to Social Security Administration BenefitsSocial SecurityConvicted at trial—
2026-08-05Former St. Louis Aldermanic Candidate Admits Committing Social Security FraudSocial SecurityPleaded guilty$51K
2026-07-30Adult Day Care Provider Accused of $1.47 Million Missouri Medicaid FraudMedicaidCharged$1.5M
2026-07-29Prairie Village, Kansas Woman Pleads Guilty to Social Security Benefits FraudSocial SecurityPleaded guilty—
2026-07-29Florissant Woman Admits Theft of $170,000 in Social Security BenefitsSocial SecurityPleaded guilty$171K
2026-07-20Local Home Healthcare Company Owner Sentenced to 18 Months in Prison for $210,000 FraudMedicaidSentenced$210K
2026-06-11North Carolina Woman Charged with Conspiracy to Commit Immigration Fraud, VA Disability FraudVA benefitsCharged—
2026-06-09Columbia, Missouri Woman Pleads Guilty to Wire FraudPPP/EIDLPleaded guilty—
2026-05-26Cape Girardeau Man Sentenced to Prison for Identity Theft, Pandemic FraudPPP/EIDLSentenced—
2026-05-22Regions Bank to Pay $4. 9 Million to Resolve Civil Liability in Connection with Ineligible Paycheck Protection Program LoanPPP/EIDLCivil settlement$4.9M
2026-05-14Kansas City Man Sentenced to 36 Months for Covid-19 FraudPPP/EIDLSentenced$318K
2026-04-22Columbia, Missouri Doctor Arrested, Accused of Health Care Fraud, Illegally Prescribing DrugsMedicaidMedicareCharged—
2026-04-17Six St. Louis Area Residents Accused of $8.3 Million Pandemic FraudPPP/EIDLCharged$8.3M
2026-04-15Clayton Chiropractor Sentenced to 100 Months in PrisonMedicaidMedicareSentenced—
2026-04-08St. Louis County Fossil Company Operator Accused of Disability FraudSocial SecurityCharged—
2026-03-31Five Accused of Stealing $511,000 from Missouri Childcare Expansion ProgramChild careCharged$80K
2026-03-20Home Health Care Operator Admits Defrauding Missouri MedicaidMedicaidPleaded guilty$174K
2026-03-11Man Sentenced to 5 Years' imprisonment for Covid-19 FraudPPP/EIDLSentenced—
2026-03-09Psychiatrist Reaches Civil Settlement of $360,000 to Resolve Allegations of False Claims to Federal Health Care ProgramsMedicaidMedicareCivil settlement$360K
2026-03-09Kansas City Woman Pleads Guilty to COVID-19 FraudPPP/EIDLPleaded guilty—
2026-03-09Former St. Louis Lawyer Sentenced to 21 Months in Prison for $379,900 Pandemic FraudPPP/EIDLSentenced$380K

Source: U.S. Department of Justice press releases, classified by WHIP Reward. Each row is one press release; the same case can appear at several stages, so amounts should not be added. Charged cases are allegations. Search all 68 in the database.

Frequently asked questions

How do I report Medicaid fraud in Missouri?

Report provider fraud to the Medicaid Fraud Control Unit (Office of the Attorney General), or to the HHS Office of Inspector General at 1-800-HHS-TIPS. To be eligible for a federal WHIP award, also submit the tip in writing at America.gov/fraud.

Does Missouri pay whistleblowers?

Missouri has: Medicaid fraud original-source reward (A person who is the original source of the information the Attorney General uses to bring a civil action under § 191.905.14 receives 10% of any recovery, but nothing if that person planned, initiated or took part in the conduct. A separate 10% reward (of the forfeited compensation) applies to original-source information about a state employee's willful violation of § 36.460.). Federal programs (WHIP and the federal False Claims Act) apply as well.

How many fraud cases has the DOJ announced in Missouri?

68 announcements since January 20, 2025 in our database, counting each press release separately (a case can appear at charge, plea and sentencing). 27 of them announced a sentence.

Sources

  1. U.S. Department of Justice: Whistleblower Rewards Program
  2. ago.mo.gov/divisions/medicaid-fraud
  3. revisor.mo.gov/main/OneSection.aspx
  4. oig.hhs.gov/fraud/state-false-claims-act-reviews
  5. dss.mo.gov/dls/public-assistance-fraud-form
  6. labor.mo.gov/des/report-fraud
  7. U.S. Department of Justice press releases (justice.gov/news)