Moore County Man Charged with TennCare Fraud

NASHVILLE - A Moore County man is charged with TennCare fraud for selling prescription drugs paid for by TennCare, the state’s public healthcare insurance program.

The Office of Inspector General (OIG) announced the arrest of Caleb W. Goshorn, 19, of Lynchburg.  The arrest was assisted by the Moore County Sheriff’s Office.

An indictment accuses Goshorn of fraudulently obtaining TennCare medical assistance by obtaining a prescription for Adderall, an amphetamine used to treat attention deficit hyperactivity disorder, with the intent to resell at least part of the prescription.  The drug was paid for by TennCare.

“Local police are clearly committed to eliminating prescription drug abuse, and we’re doing our part to stop abusers who are supporting this lifestyle with TennCare,” Inspector General Deborah Y. Faulkner said. “We are working with municipal and county police officers across the state, as we work cases with any TennCare involvement.”

The TennCare fraud charge against Goshorn could result in a two year sentence, if convicted. District Attorney General Charles Crawford is prosecuting.

The OIG, which is separate from TennCare, began full operation in February 2005 and has investigated cases leading to over $3.5 million paid in restitution and recoupment to TennCare, with a total estimated cost avoidance of over $173 million for the TennCare program, according to latest figures.  To date, nearly 1,500 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 log on to www.tn.gov/tnoig and follow the prompts that read "Report TennCare Fraud."