Davidson County Woman Charged with TennCare Fraud

NASHVILLE, Tenn. – A Davidson County woman is charged with TennCare fraud, after receiving benefits through the state’s Medicaid program, even though she and her family were not eligible.

The Office of Inspector General (OIG), with the assistance of Metro Nashville Police, today announced the arrest of April Renea Woodall, also known as April R. Pettit, 31, of Nashville. She is charged with TennCare fraud and two counts of theft of services. Charges accuse her of failing to disclose her household income to the state in order to enroll in TennCare.

“This is a common scheme used by people who want to make themselves look poor – on paper – while the taxpayers are picking up the tab for their medical services,” Inspector General Manny Tyndall said. “We have uncovered various schemes that people are using to defraud the TennCare program, but bringing these folks to justice sends a message that we are going to prosecute these cases.”

TennCare fraud is a Class E felony carrying a sentence of up to two years in prison.  Theft of services over $60,000 is a Class C felony punishable by up to six years in prison.  Theft of services over $1,000 is a Class D felony punishable by up to four years in prison.  District Attorney General Glenn R. Funk 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, 2,496 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.