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Manchester Resident Charged with TennCare Fraud

Friday, January 10, 2020 | 09:01am
James Smithey

NASHVILLE, TN. – A Coffee County man is charged with TennCare fraud and theft of services for allegedly under-reporting his income to that he and his family appeared to qualify for TennCare healthcare insurance benefits.  

The Office of Inspector General (OIG), in a joint effort with the Coffee County Sheriff’s Office today announced the arrest of 42-year-old James Smithey of Manchester. Authorities accuse Smithey of reporting a lower income than he was earning so that his family qualified for TennCare.

 “The TennCare program is designed to provide benefits for the residents of Tennessee who rightfully qualify,” Inspector Kim Harmon said.  “The Office of Inspector General has demonstrated a proven commitment through our diligent investigation process to ensure that our taxpayer’s money is being used properly.”

If convicted Smithey could face penalties of up to a maximum of 24 years in prison for the charges, which are Class D felonies.

The OIG, which is separate from TennCare, began full operation in February 2005 and has investigated over 5,760 criminal cases leading to more than $10.8 million ordered in restitution to TennCare.  This has helped lead to a total estimated cost avoidance of more than $163.6 million for TennCare, according to the latest figures. To date, 3,134 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 or by logging on to www.tn.gov/oig/ and following the prompts that read “Report TennCare Fraud.”