Missouri Medicaid Audit and Compliance Unit maintains the Missouri MMAC Provider Sanctions List — a separate Medicaid exclusion list providers must screen alongside the federal OIG LEIE and GSA/SAM. Hiring or contracting with anyone on these lists creates federal penalty exposure, even when the hire was unintentional.
Missouri at a glance
| Official list name | Missouri MMAC Provider Sanctions List |
| Administering agency | Missouri Medicaid Audit and Compliance Unit |
| Format | Online searchable list |
| Screening cadence | Monthly (CMS SMDL #08-003 and #09-001) |
| Official source | View Missouri’s official list → |
Recent cases from across Missouri
Each settlement below started with one missed exclusion check. All were preventable. Don’t let your organization become the next example.
June 2024 · Missouri · Nursing home / senior living
$300,000 — A senior living facility settled with OIG for employing an excluded individual. Read the OIG settlement →
December 2022 · Missouri · Nursing home / senior living
$66,342 — A senior living facility settled with OIG for employing an excluded individual. Read the OIG settlement →
September 2022 · Missouri · Hospital
$55,453 — A hospital settled with OIG for employing an excluded individual. Read the OIG settlement →
The pattern is clear: Organizations of all types and sizes can be penalized for hiring excluded people or vendors. The only reliable defense is screening every employee and contractor against every exclusion list, monthly. We make that easy for you.
Missouri-specific FAQs
Is the Missouri MMAC Provider Sanctions List the same as the OIG LEIE?
No. The OIG LEIE is the federal exclusion list covering Medicare, Medicaid, and all federal health programs. The Missouri MMAC Provider Sanctions List is separate and covers providers excluded or terminated from Missouri Medicaid specifically. Providers must screen both, along with GSA/SAM.
How often do I need to screen against the Missouri MMAC Provider Sanctions List?
Monthly, on hire and every month thereafter. CMS State Medicaid Director Letters #08-003 and #09-001 require monthly screening of every employee, contractor, and vendor that contributes to a claim — including billers, coders, and managing employees.
Do I need to screen the Missouri list if I’m not located in Missouri?
Yes — if you bill Missouri Medicaid or employ Missouri-licensed staff, the screening obligation applies. An exclusion in one state can also trigger sanctions in others under Section 6501 of the Affordable Care Act.
Federal penalties & cross-state implications
The OIG can impose civil monetary penalties of up to $24,947 per item or service that an excluded individual contributed to. Penalties stack quickly: a single excluded employee submitting claims over several months can produce six- or seven-figure exposure. Self-disclosure reduces but does not eliminate the penalty — recent settlements show organizations paying $100K-$3M+ even after voluntary reporting.
CMS requires monthly screening of employees, contractors, vendors, and any party who contributes to a claim — including billers, coders, and managing employees. Screening is required on hire and monthly thereafter (CMS State Medicaid Director Letters #08-003 and #09-001).
An exclusion in one state can trigger sanctions in others under Section 6501 of the Affordable Care Act. Providers should screen against the OIG LEIE, GSA/SAM, and every state Medicaid exclusion list — not just their home state.
