Items filtered by date: Monday, 02 May 2011
TennCare Fraud Investigation Yields Ten Arrests in Shelby County
Ten West Tennessee residents have been indicted by a Shelby County Grand Jury on numerous TennCare fraud charges ranging from identity theft to prescription drug fraud
This was a joint investigation by the Office of Inspector General and the Shelby County Sheriff’s Department.
The Office of Inspector General (OIG) announced the indictment and arrests of the following people:
  • Tennelle Sample, 32, of Millington, has been charged with eleven counts of obtaining prescriptions by fraud and one count of TennCare fraud. Allegedly, Sample used forged prescriptions to obtain Hydrocodone w/Acetaminophen. These prescriptions were paid for by TennCare.
  • Zandra Smith, 38, of Memphis, has been charged with one count of TennCare fraud. Between June 2007 and November 2009, Smith willfully made false statements to gain TennCare benefits she was not entitled to receive.
  • Paula Smith, 56, of Millington, has been charged with two counts of fraudulently using TennCare to obtain a controlled substance by “doctor shopping.” Smith failed to disclose to her doctor that she had seen another physician within a 30-day period and received a prescription for the same or similar controlled substance, with either the physician office visit or the prescription being paid for by TennCare.
  • Carolyn Edington, 31, of Jackson, has been charged with one count of fraudulently using TennCare to obtain a controlled substance by “doctor shopping.” Edington failed to disclose to her doctor that she had seen another physician within a 30-day period and received a prescription for the same or similar controlled substance, with either the physician office visit or the prescription being paid for by TennCare.
  • Tammie Martin, 37, of West Memphis, Arkansas, has been charged with one count of TennCare fraud. Between May 2007 and May 2010, Martin willfully made false statements or other fraudulent means to gain TennCare benefits she was not entitled to receive.
  • Sunny Kimbrell, 25, of Memphis, has been charged with one count of TennCare fraud and one count of obtaining controlled substance by fraud. Kimbrell allegedly altered a legitimate prescription by adding the pain killer Lortab and using her TennCare to pay for the altered prescription.
  • Jason Knowles, 33, of Memphis, has been charged with one count of TennCare fraud, one count of theft of services over $1000 but less than $10,000, and one count of identity theft. Knowles has been indicted for allegedly using the identity of a TennCare enrollee in order to gain admittance to Baptist Memorial Hospital by fraud in order to avoid payment for services. Knowles allegedly received TennCare benefits for which he was not entitled to.
  • Chalet Fletcher, 41, of Memphis, has been charged with one count of TennCare fraud and one count of theft of services over $10,000 but less than $60,000. Allegedly, Fletcher fraudulently obtained medical assistance benefits that she was not entitled to receive.
  • Charlotte Woods, 56, of Bolivar, has been charged with one count of fraudulently using TennCare to obtain a controlled substance by “doctor shopping.” Woods failed to disclose to her doctor that she had seen another physician within a 30-day period and received a prescription for the same or similar controlled substance, with either the physician office visit or the prescription being paid for by TennCare.
  • Adria Dodson, 32, of Memphis, has been charged with forty (40) counts of obtaining a controlled substance by fraud and one count of TennCare fraud. Dodson allegedly used forged prescriptions to obtain Hydrocodone w/ Acetaminophen paid for by TennCare.
“Our message is simple -- if you lie, cheat, or steal to get TennCare benefits, you risk going to jail because we will be looking for you all across the State of Tennessee,” Inspector General Deborah Y. Faulkner said.
Shelby County District Attorney General’s Office will prosecute these cases.
“The victim in these cases is the State of Tennessee. The prosecutors in my office will ensure that in each case we obtain the result that truth dictates and justice demands....for the State of Tennessee,” said Shelby County District Attorney Amy Weirich.
TennCare fraud is a class E Felony and carries a sentence of up to 2 years; obtaining a controlled substance by fraud, identity theft, and theft of services over $1,000 but less than $10,000 are class D felonies and carries a sentence of up to 4 years; theft of services over $10,000 but less than $60,000 is a class C felony and could result in a prison sentence of up to 6 years.
Through the OIG Cash for Tips Program established by the Legislature, Tennesseans can get cash rewards for TennCare fraud tips that lead to convictions. Anyone can report suspected TennCare fraud by calling 1-800-433-3982 toll-free from anywhere in Tennessee, or log on to www.tn.gov/tnoig and follow the prompts that read “Report Fraud Now.”
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