Mo. Rev. Stat. » Chapter 191
Missouri Revised Statutes

Mo. Rev. Stat. § 191.900 (2026)

Definitions

✓ current as of May 2026
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  191.900.  Definitions. — As used in sections 191.900 to 191.910, the following terms mean:

  (1)  "Abuse", the infliction of physical, sexual or emotional harm or injury.  "Abuse" includes the taking, obtaining, using, transferring, concealing, appropriating or taking possession of property of another person without such person's consent;

  (2)  "Claim", any attempt to cause a health care payer to make a health care payment;

  (3)  "False", wholly or partially untrue.  A false statement or false representation of a material fact means the failure to reveal material facts in a manner which is intended to deceive a health care payer with respect to a claim;

  (4)  "Health care", any service, assistance, care, product, device or thing provided pursuant to a medical assistance program, or for which payment is requested or received, in whole or part, pursuant to a medical assistance program;

  (5)  "Health care payer", a medical assistance program, or any person reviewing, adjusting, approving or otherwise handling claims for health care on behalf of or in connection with a medical assistance program;

  (6)  "Health care payment", a payment made, or the right under a medical assistance program to have a payment made, by a health care payer for a health care service;

  (7)  "Health care provider", any person delivering, or purporting to deliver, any health care, and including any employee, agent or other representative of such a person, and further including any employee, representative, or subcontractor of the state of Missouri delivering, purporting to deliver, or arranging for the delivery of any health care;

  (8)  "Knowing" and "knowingly", that a person, with respect to information:

  (a)  Has actual knowledge of the information;

  (b)  Acts in deliberate ignorance of the truth or falsity of the information; or

  (c)  Acts in reckless disregard of the truth or falsity of the information.  

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Use of the terms knowing or knowingly shall be construed to include the term "intentionally", which means that a person, with respect to information, intended to act in violation of the law;

  (9)  "Medical assistance program", MO HealthNet, or any program to provide or finance health care to participants which is established pursuant to title 42 of the United States Code, any successor federal health insurance program, or a waiver granted thereunder.  A medical assistance program may be funded either solely by state funds or by state and federal funds jointly.  The term "medical assistance program" shall include the medical assistance program provided by section 208.151, et seq., and any state agency or agencies administering all or any part of such a program;

  (10)  "Person", a natural person, corporation, partnership, association or any legal entity.

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(L. 1994 H.B. 1427 § 1, A.L. 2007 S.B. 577)

Notes of Decisions
Cited in 6 cases (2 in the last 5 years), 2000–2023 · leading case: State v. Barnes, 245 S.W.3d 885 (Mo. Ct. App. 2008).
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State v. Barnes, 245 S.W.3d 885 (Mo. Ct. App. 2008). · cites it 8× “convicted of a violation of this section, in addition to any fines, penalties or sentences imposed by law, *895 shall be required to make restitution to the federal and state governments, in an amount at least equal to that unlawfully paid to or by the person, and shall be…”
Rachal Laut, f/k/a Rachal Govro, & John M. Soellner v. City of Arnold, 491 S.W.3d 191 (Mo. 2016). “See also § 191.900 (definition of knowingly in “Health Care Payment Fraud and Abuse” statute); § 197.”
State v. Spilton, 315 S.W.3d 350 (Mo. 2010). · cites it 2× “the communication of information or records relating to a violation of sections 191.900 to 191.910 is guilty of a class D felony.”
State v. Mann, 23 S.W.3d 824 (Mo. Ct. App. 2000). · cites it 2× “” Section 191.900(3) defines “false” as “wholly or partially untrue.”
Dopplick v. Ortheco LLC (E.D. Mo. 2023). · cites it 2× “Health Care Fraud Whistleblower Protection Act (Count VI) The Missouri Health Care Fraud Whistleblower Protection Act states, An employer shall not discharge, demote, suspend, threaten, harass, or otherwise discriminate against an employee in the terms and conditions of…”
Hawkins v. SSM Health Care Corp. (E.D. Mo. 2023). “See § 191.900(4) (defining “health care” as services related to a medical assistance program); and § 191.”
— Mo. Rev. Stat. § 191.900(3) — 1 case
State v. Mann, 23 S.W.3d 824 (Mo. Ct. App. 2000). “” Section 191.900(3) defines “false” as “wholly or partially untrue.”
— Mo. Rev. Stat. § 191.900(4) — 2 cases
State v. Barnes, 245 S.W.3d 885 (Mo. Ct. App. 2008). “convicted of a violation of this section, in addition to any fines, penalties or sentences imposed by law, *895 shall be required to make restitution to the federal and state governments, in an amount at least equal to that unlawfully paid to or by the person, and shall be…”
Hawkins v. SSM Health Care Corp. (E.D. Mo. 2023). “See § 191.900(4) (defining “health care” as services related to a medical assistance program); and § 191.”
— Mo. Rev. Stat. § 191.900(7) — 1 case
State v. Barnes, 245 S.W.3d 885 (Mo. Ct. App. 2008). “convicted of a violation of this section, in addition to any fines, penalties or sentences imposed by law, *895 shall be required to make restitution to the federal and state governments, in an amount at least equal to that unlawfully paid to or by the person, and shall be…”
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