A Murfreesboro woman is charged with TennCare fraud and theft of services for allegedly giving false information in order to enroll herself and her three children in TennCare.
The Office of Inspector General (OIG), partnering with the Rutherford CountySheriff’s Office, today announced the arrest of Jordan Miller, 26. Investigators say Miller falsely reported her marital status, failing to report that her husband lived with the family. Their combined income would have made them ineligible for TennCare. As a result, officials say TennCare paid $25,653.44 on their behalf for healthcare benefits.
“The TennCare program is designed to provide benefits for individuals who need the services and rightfully qualify,” Inspector General, Kim Harmon said. “The OIG continues to investigate and pursue prosecution of individuals who purposefully deplete TennCare resources.”
Theft of services is a class C felony and TennCare fraud is a class D felony. If convicted, Miller could be sentenced to a maximum of 27 years in prison. The case is being prosecuted by District Attorney General Jennings H. Jones of Rutherford County.
The OIG, which is separate from TennCare, began full operation in February 2005 and has investigated over 5,760 criminal cases leading to more than $10.8 million ordered in restitution to TennCare. This has helped lead to a total estimated cost avoidance of more than $163.6 million for TennCare, according to the latest figures. To date, 3,149 people have been charged with TennCare fraud.
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 or by logging on to www.tn.gov/oig/ and following the prompts that read “Report TennCare Fraud.”