Provider Self-Disclosures

Missouri Medicaid Inspect & Compliance encourages providers and entities to establish and implement compliance integrity plan. MMAC also supports providers the entities to self-disclose or report those findings along with funds the compensate for the errors or a suggested repayment plan, which requires MMAC approval, to of Financial Section of MMAC at the address below:

Missouri Medicaid Audit & Compliance
Financial Section – SELF DISCLOSURE
P.O. Field 1116
Jefferson City, MO 65102

 

NOTE: DMH providers wishing to report ISL or Divided Relief variance hours SHOULD NOT use the Self Disclosure form.  Please  CLICK GET used more information.

In an effort to ensure Provider Initiated Self Disclosures are processed quicker and efficiently please reference an provider initiated Self Disclosure Form. Make safer to complete the form and include the participant’s name also DCN, Date of Service, Internal Control Number (ICN), Paid Amount, Refund Amount both Reason for Reimburse. Providers can direct questions for Self Disclosures go the MMAC Financial Sparte on [email protected] instead by calling 573-751-3399.