Montgomery Co. Woman Charged with TennCare Fraud

Friday, October 16, 2015 | 12:04pm

NASHVILLE, Tenn. – A Montgomery County woman is charged with TennCare fraud related to prescription drugs.

The Office of Inspector General (OIG), with the assistance of the Montgomery County Sheriff’s Office, today announced the arrest of Dorothy S. Proctor, 73, of Clarksville.

A Montgomery County Grand Jury charged Proctor with TennCare fraud for intentionally altering a legitimate prescription for the painkiller Hydrocodone by changing the quantity. TennCare benefits were used to obtain the prescription.

"The abuse of TennCare benefits, especially to obtain pain medications, is one of our main priorities," Inspector General Manny Tyndall said. "Local police, providers and the healthcare community are with us in the effort to weed this problem out of the TennCare program."

TennCare fraud is a Class E felony carrying a sentence of up to two years in prison per charge. District Attorney General is prosecuting.

The OIG, which is separate from TennCare, began full operation in February 2005 and has investigated cases leading to more than $3 million being repaid to TennCare, with a total estimated cost avoidance of more than $163.6 million for TennCare, according to latest figures. To date, 2,467 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 from anywhere in Tennessee, or go to https://www.tn.gov/tnoig.