DeKalb Co. Woman Charged with TennCare Fraud

NASHVILLE, Tenn. - A DeKalb County woman is charged with TennCare fraud and theft of services for receiving healthcare insurance benefits through the program, even though she was not eligible for TennCare.

The Office of Inspector General (OIG), with the assistance of the DeKalb County Sheriff’s Office, today announced the arrest of Kimberly D. Griffin, 45, of Smithville. She is accused of reporting to the state that her minor child lived with her in order to appear eligible for TennCare benefits.

“It’s troubling when people misrepresent something about their current situation in order to qualify for TennCare when the program is meant for those truly in need,” Inspector General Manny Tyndall said.  “We are pursuing and prosecuting these cases across Tennessee.”

TennCare fraud is a Class E felony carrying a sentence of up to two years in prison.  Theft of services over $10,000 is a Class C felony punishable by up to six years in prison.  District Attorney General Bryant C. Dunaway is prosecuting.

Through the OIG Cash for Tips Program established by the Legislature, Tennesseans can get cash

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, 2,488 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.