McNairy Co. Woman Charged with TennCare Fraud
NASHVILLE – A McNairy County woman is charged with TennCare fraud and theft of services in connection with allegedly giving the state false information to appear eligible for TennCare.
The Office of Inspector General (OIG) today announced the arrest of 58-year old Melissa Howard. She is charged with one count each of TennCare fraud, which is a class D felony, and theft of property between $10,000.00 and $60,000.00. a class C felony. She’s accused of reporting she had custody of a minor, resulting in the payment of approximately $15,000 in health care benefits from TennCare on her behalf.
“If an individual is not qualified for TennCare benefits, they are not entitled to have TennCare pay for their medical bills and pharmacy claims,” Inspector General Kim Harmon said. “The Office of Inspector General strives to protect our taxpayer’s hard-earned money and ensure that those who choose to commit fraud are brought to justice.”
The case is being prosecuted by District Attorney General Mark E. Davidson of McNairy County.
The OIG, which is separate from TennCare, began full operation in February 2005 and has investigated more than 5,760 criminal cases leading to more than $10.8 million being repaid to TennCare, with a total estimated cost avoidance of more than $163.6 million for TennCare, according to latest figures. TennCare’s budget is comprised of both federal and state dollars, 65% and 35% respectfully. To date, 3,125 people have been charged with TennCare fraud.
To access the OIG most wanted list please visit https://www.tn.gov/finance/fa-oig/fa-oig-most-wanted.html, where there is information about reporting tips on one of the subjects.
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.”