About MMAC

The Department of Social Services (DSS) is the single state agency responsible for the administration of the Missouri Medicaid Program.  The administration of the Medicaid program is conducted by the MO HelthNet Division.

On August 28, 2012, Executive Order 12-02 became effective, establishing the Missouri Medicaid Audit and Compliance (MMAC) unit within DSS.

MMAC is responsible for detecting, investigating, and preventing fraud, waste, and abuse within Missouri’s Medicaid program, including Title XIX, Title XXI Children’s Health Insurance Program (CHIP), and the Medicaid Waiver programs.  The establishment of MMAC included all audit and compliance functions as well as provider enrollment responsibilities in Missouri’s Medicaid program with the intent to promote consistent guidance to providers participating in the Medicaid program.

MMAC is divided into five (5) main organizational units:

• Provider Enrollment Unit;
• Provider Review and Lock-In Unit;
• Investigations and Terminations Unit;
• Financial Unit; and
• Administration Unit